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Endocrine disorders
intervetion and treatment
| Question | Answer |
|---|---|
| What is Acromegaly? | over production of the GH do to tumor in the pituitary gland in adults. "idiopathic |
| what are the s/s of Acromegaly? | enlargement of the cranium, lower jaw, Bulging forehead, bulbous nose, think lips enlarge tongue, heart, liver, hand and feet deep voice. |
| A nurse is assessing a patient that is newly diagnosis with Acromegaly. What would she found? | headache, painful stiff joints, amenorrhea or impotent fair hair in women, muscle weakness. |
| what vitals that may indicate a complication of heart failure in Acromegaly? | dyspnea, tachycardia, weak pulse low BP |
| because of the pressure of the tumor near the optic nerve in Acromegaly what is be a end result? | partial or complete blindness and severe headache |
| what labs help to Diagnosis Acromegaly? | GH and plasma insulin-like growth factor-1 test |
| what is the common treatment for Acromegaly? | suppress GH with somatostain, parlodel, Cryosurgery, remove only tumor, proton beam therapy |
| Because of structure are enlarged in the face; What would is the ideal diet for a patient with Acromegaly? | Soft, easy-to-chew diet |
| what nursing intervention can help with muscle atrophy in Acromeglay? | ROM of the effected areas including the face. |
| Gigantism | over production of GH caused by hyperplasia (tumor) in the pituitary gland in children. |
| when does Gigantism occurs? | before the epiphyses closes |
| what are the S/S of Gigantism ? | great height, increase visceral,muslce and weight,weakness |
| what is the medical treatment for Gigantism ? | removal of the tumor and radiation with subsequent replacement of pituitary hormones. |
| what are the complication post-op in child with gigantism? | High BP, heart failure, osteoporosis and delayed sexual development. |
| which sex group would have more emotional problems in Gigantism? | Girl |
| What is Dwarfism ? | condition caused by a deficiency of the GH (idiopathic or autosomal recessive. |
| What are the s/s of Dwarfism ? | abnormally short height, normal body proportion, look younger in age, has dental problem d/t undeveloped jaw, delayed sexual development. |
| Can patient who have Dwarfism have children? | Yes as long as there so no problem with gonadotropins hormones. |
| what is the treatment for Dwarfism? | GH replacement and if tumor remove. |
| what should you teach parents about there child having Dwarfism? | they are not to blame |
| what are complication of Dwarfism ? | musculoskeletal and cardiovascular problems |
| what is Diabetes Insipidus ? | It is a transient or permanent metabolic disorder of the posterior pituitary which ADH is very low. |
| what result in the decrease ADH in Diabetes Insipidus? | electrolyte and fluid imbalance wit is caused by plasma osmolality increase urine output. |
| What are the S/S of diabetes Isipidus ? | low gravity level of 1.001 to 1.005, 2ml/hr. of urine, polyuria, polydipsia |
| Because of the increase fluid loss in diabetes Isipidus; What can be a severe side effect of the disease? | lethargic, dry skin, poor turgor, constipation resulting dehydraton. |
| What is the treatment for Diabetes Isipidus? | demopressin(DDAVP),vasopressin,(IM) ADh preparation |
| what should patient wit Diabetes Isipidus avoid? | caffeine |
| What is s/s of Diabetes Isipidus? | ployuria, polydipsia, |
| What is a severe side effect of increase ADH related to diabetes Isipidus? | dehydration, lethagic, dry skin, poor turgor, constipation,hypovolumic |
| what can the nurse teach patient not do the have diabetes Isispidus? | Do not decrease fluid intake to reduce urine |
| what are the s/s/ of hypovolumic shock ? | changes in consciousness,tachycardia,tacypnea, hypotension. |
| what would you assess for as the nurse in diabetes Insipidus ? | severe thirst,embarrassed drinking, slong withother s/s. I&O |
| what labs or diagnostic test would indicate Diabetes Isipidus? | urine gravity drop below 1.003 turkisk saddle shapeed depression sphenoid bone |
| what is SIADH? | when the pituitary releases too much ADH |
| what can result form having SIADH? | hyponatremia ,hemodilution, and fluid overload with out edema> |
| what causes SIADH? | stress on the body like surgery, medications, diseases. |
| what is the common age group the has SIADH? | elderly |
| what should the nurse look for in patient with EIADH? | sodium level lower than 124/mEq/L s/s of hyponatremia (weakness, muscle cramps, anorexia nausea and vomiting. diarrhea weight gain |
| what is the treatment for SIADH? | fluid restrictionof 800 to 1000ml/day, hypertonic solution 3% to 5% , low sodium diet, clocycline and Lasix 40 to 80mg/day or 20 to 40 IM .surgical resection,radition, chemo of cancer. |
| when should medication be give for treatment of SIADH ? | 30 minutes before meals whit antimetic |
| what should SIADH patient's avoid ? | salty foods |
| what is Graves Disease? | hperthyroidism or over production of T# an T4 hormones. autoimmmun |
| when is the most common time for a person to have Gaves Disease? | women 20 to 40 year, pregnancy |
| what are the s/s of Graves Disease? | bulging eyes(exophalmos) edema at the anterior part of the neck, momery loss, dysphagia, large appetite, weight loss, nervousness, hand tremors insomnia,tachycardia,high BP , warm or flush skin, fine hair,amenorrhea,high temp,sweat |
Created by:
crychicken
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