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Term 5 MSIII > Pituitary Gland > Flashcards

Pituitary Gland Flashcards

1
Q

The pituitary gland is under control of the _________

controls function of most other endocrine glands. Contains the ______ and ______ lobes.

A

hypothalamus; anterior; poster

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2
Q

What is the anterior pituitary responsible for?

A
  1. Growth hormone
  2. thyroid stimulating hormone
  3. ACTH
  4. follicle stimulating
  5. luteinizing hormones
  6. prolactin
  7. melanocyte stimulating hormone
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3
Q

What is the posterior pituitary responsible for?

A
  1. oxytocin

2. antidiuretic hormone (Vasopressin)

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4
Q

Although this is the “_____” gland, most hyper/hypo conditions are due to the target gland itself.

A

master

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5
Q

Disorders:

May be due to _____ defects or have an _______ etiology.

A

organic; idiopathic

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6
Q

Disorders:

Single hormonal problem or a ________ with other hormonal deficiencies.

A

combination

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7
Q

Disorders:

Clinical manifestations depend upon the _______ involved.

A

hormone

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8
Q

Disorders:

May result in an ________ or hormone _________

A

Overproduction; deficiency

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9
Q

Hypopituitarism: Growth Hormone (GH) deficiency

Consequences depend upon the degree of _______.

A

Dysfunction

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10
Q

Hypopituitarism: Growth Hormone (GH) deficiency

Inhibits overall somatic growth, _______ height (______) in children.

A

short; dwarfism

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11
Q

Hypopituitarism: Growth Hormone (GH) deficiency

In adults it can cause increased ____, decreased _______ tissue, thinning _____, reduced energy and quality of life.

A

fat; muscle; bones

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12
Q 
GH deficiency:
Diagnostic evaluation includes:
1. family history
2. growth patterns and health history
3. physical examination
4. psychosocial evaluations
5. radiographic survey- x-ray
6. endocrine studies
A

Therapeutic Management:

  1. treatment directed to correction of underlying disease process
  2. replacement with GH is successful in 80% of affected children
  3. dosage is increased as the time of epiphyseal closure nears
  4. radiologic evidence that closure has occurred signals the end of therapy.
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13
Q

GH deficiency: nursing care management

  1. Identifying and assisting with the diagnosis.
  2. family support needs: explain procedures
  3. emotional adjustment of the child: support groups
  4. preparation for testing and medication administration
A

Even though they go through treatment they will be small for their age.

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14
Q

Pituitary hyperfunction:

______ GH before closure of epiphyseal shaft results in overgrowth of long bones.

A

Excess

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15
Q

Pituitary hyperfunction:

They can reach heights of 8 ft or more it is known as _______. Vertical growth plus increased _______.

A

Gigantism; muscle

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16
Q

Pituitary hyperfunction:

Weight is generally in proportion to height. Excess GH after epiphyseal closure is called ___________.

A

acromegaly

17
Q

Pituitary hyperfunction:

Typical facial features include overgrowth of what?

A
  1. head
  2. lips, tongue, jaw, nose
  3. nasal, mastoid sinuses
  4. malocclusion of the teeth.
18
Q

Pituitary hyperfunction:

What can cause acromegaly?

A

Tumors or trauma

19
Q 
Pituitary hyperfunction:
Diagnostic evaluation
1. history of excessive growth during childhood
2. evidence of increased levels of GH
3. Radiographic studies
4. endocrine studies
A

Therapeutic management:

  1. surgical treatment to remove tumor
  2. radiation and radioactive implants
  3. hormone replacement therapy after surgery in some cases- thyroid extract, cortisones, sex hormones
20
Q

Pituitary Surgery:

As the nurse, after surgery what should you check?

A

Check drainage for glucose this can be indicative of spinal fluid which is not normal.

21
Q

Pituitary hyperfunction: Nursing management
Early identification of children with _______ growth rates. ____ treatment for improved outcomes. Emotional support. body image concerns.

A

excessive; early

22
Q

Precocious Puberty:

Defined as sexual development > age __ in boys >age __ in girls.

A

9;8

23
Q

Precocious Puberty:
Occurs more frequently in _____. Potential causes disorder of _____, _____ glands, or hypothalamic-pituitary gonadal axis. 95% of cases have no know causative factor.

A

girls; gonads; adrenal

Term 5 MSIII (5 decks)

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