Endocrine

Question 1

deficiency in one or more of the anterior pituitary hormones

Answer 1

hypopituitarism

Question 2

what 2 hormones are most life threatening for anterior pituitary glands?

Answer 2

ACTH and TSH

Question 3

oversecretion of GH before puberty

Answer 3

gigantism

Question 4

oversecretion of GH after puberty

Answer 4

acromegaly

Question 5

What is important in the post op care for hypophysectomy?

Answer 5

no pressure on nose, report nasal dripping- assess for glucose and CSF “halo sign”

Question 6

If the whole pituitary is removed- what is the replacement hormone?

Answer 6

thyroid glucocorticoid

Question 7

Posterior pituitary disorder: hypofunction

Answer 7

diabetes insipidus

Question 8

What happens with diabetes insipidus?

Answer 8

ADH deficiency –> polyuria and dehydration –> thirst

Question 9

What can cause posterior pituitary disorders?

Answer 9

past surgery, trauma, metastiatic tumors, infections, meds, family hx

Question 10

What labs are consistent with DI?

Answer 10

^ H and H , ^ sodium, ^ BUN

Question 11

What teaching points are important when giving inhalation desmopressin?

Answer 11

blow nose BEFORE- watch for headache (hyponatremia)

Question 12

posterior pituitary hyperfunction

Answer 12

SIADH

Question 13

What is SIADH

Answer 13

ADH secreted even when plasma osmolarity is low or normal (SOAKED INSIDE)

Question 14

SIADH s/s

Answer 14

water retention, HTN, tachycardia, weight gain, concentrated urine, hyponatremia

Question 15

SIADH interventions

Answer 15

fluid restrictions, neuro checks, vitals

Question 16

Addisons disease

Answer 16

hypofunction of adrenal cortex- bronze skin, hypoglycemia, postural hypotension, GI disturbances, weakness, adrenal crisis

Question 17

Cushing Disease

Answer 17

hyperfunction of the adrenal cortex