med surg endocrine Flashcards
what gland secretes calcitonin?
thyroid
what is the role of adrenal cortex?
release of cortisol and aldosterone
what hormones are released by the anterior pituitary gland?
ACTH
TSH
GH
female hormones
name the 5 Hs of a pheochromcytoma
hypertension
headache
hyperhydrosis
hypermetabolism
hyperglycemia
what is the basic difference between addison’s disease and cushings disease?
adrenal insufficiency versus adrenal excessive
name 3 physical characteristics of a patient with hyperthyroidism
exophthalmos
goiters
nervousness
apprehensive
facial flushing
tachycardia
heat intolerance
weight loss
diarrhea..
what is chvostek’s sign?
spasm of the facial nerve that occurs with the tap of the cheek associated with hypocalcemia
what hormones are associated with addisons disease
cortisol ACTH
what is the main function of the thyroid gland?
metabolism
what is the adrenal medullas role
release of neurotransmitters
what is important to know before a patient has a radioactive uptake scan?
allergies to shellfish
iodine intake
what complications should you watch for immediately postop thyroidectomy
airway obstruction
what nursing interventions can you list for someone with myxedema coma
space out activities
keep warm (heated blanket)
avoid constipation (give laxatives)
watch for respiration depression
what conditions can precipitate thyroid storm?
untreated hyperthyroidism
stress
infection
patients who are post radioactive iodine treatment
explain the importance of a MD ordering the following labs: CBC with differential, serum albumin, TSH, FT4, PT, INR
- CBC with differential will examine for anemia or for risks of infection. Fatigue may be related to anemia
- The serum albumin level assesses the patient’s nutritional status because changes in nails, skin, and hair may be related to poor intake of proteins
- TSH and FT4 are used to assess if the patient’s symptoms are related to hypothyroidism
- PT and INR are obtained for adjustment of the warfarin therapy the patient is receiving
what gland is considered the master gland?
pituitary
A deficiency of ADH that causes the person to urinate up to 25 liters daily is called what?
Diabetes insipitus
what are 3 nursing interventions for someone with addisons disease?
monitor dehydration
encourage salt intake
teach stress management techniques
what’s the order of a progressive diet?
clear liquid
full liquid
pureed
soft food
normal food
if there is a tumor in the hypothalamus or the pituitary gland what glands are affected?
thyroid, parathyroid, adrenals
the posterior pituitary gland secretes which hormone that then causes what 2 disorders
ADH
DI & SIADH (secretion of inappropriate ADH)
what are the nicknames for T3 & T4?
T3- stimulator
T4- stabilizer
what is the role of the liver in the endocrine system?
remove toxins from blood & transport T3 & T4
is T3 or T4 better to determine hyperthyroidism?
T3
