Adult 1 - Endocrine Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
| Term | Definition |
| acromegaly definition | too much growth hormone |
| main cause of acromegaly | Pituitary benign adenoma (tumor) secretes too much growth hormone |
| acromegaly results in | Overgrowth of everything HTN Hyperglycemia |
| Clinical Manifestations of Acromegaly | Enlargement of everything Peripheral neuropathy HTN/Heart Failure Sleep Apnea HA/vision issues Menstrual disturbances |
| Diagnostics of Acromegaly | Elevated growth factor in blood MRI/CT to detect tumors H&P Ophthalmologic exam |
| Treatment of Acromegaly | Surgical Removal 1. Transsphenoidal Hypophysectomy: go through nose or upper lip; need replacement hormones for life: i.e. glucocorticoids, thyroid and sex hormone 2. Stereostatic radiosurgery: radiation for tumor |
| Post-Operative Care of Acromegaly | HOB 30 Looking for neuro complications: speech, pupils, extremity strength Mouth & surgical site care Bleeding Observe any clear nasal drainage: test for glucose (greater than 30 = CSF); severe HA monitoring all these indicate CSF leak |
| Definition of Goiter | enlarged thyroid |
| Cause of Goiter | lack of iodine in diet |
| Toxic Goiter | leads to hypo or hyper |
| Non-toxic Goiter | enlargement w/o malignancy; TH levels normal |
| Hyperthyroid definition | Autoimmune disease that causes excess thyroid hormone secretion and enlarged thyroid |
| Clinical Manifestations | speeds everything up |
| Anti-thyroid Medications | 1. Iodine: PO; stops T3 & T4 from going into circulation; used before surgery to treat crisis; decreases vascularity of thyroid gland for bleeding 2. Beta-Adrenergic Blockers: treats symptoms of thyrotoxicosis |
| Radioactive Iodine Therapy (RAI): | damage/destroy thyroid tissue; eventually get symptoms of hypothyroidism; teach patient about: separation from people b/c radiation exposure |
| Surgical Therapy for Hyperthyroidism | Subtotal Thyroidectomy -- removes 90% of thyroid |
| Nutritional Therapy | high calorie-diet; avoid fiber & caffeine |
| Thyrotoxicosis definition | Excessive amounts of hormones released LIFE-THREATENING EMERGENCY Results b/c stressors (infection, trauma, surgery) |
| Thyrotoxicosis manifestations | Same thing as hyperthyroidism, but elevated even higher |
| thyrotoxicosis collaborative care | Thyroidectomy Manage respiratory distress – beta blockers Reduce fever – Tylenol, cooling blankets, ice packs Replace fluids Eliminate or manage stressor |
| Thyroidectomy Post-Operative Care | o Meds – Iodine and Analgesics o HOB 30-45 o Signs of Hypocalcemia: tingling of toes, fingers, and around mouth & muscle twitching & difficulty speaking & hoarseness) Trousseau’s and Chvostek’s signs o Hemorrhage o Thyrotoxic crisis o Infection |
| Hypothyroid Definition | lack of thyroid hormone --> more common in women than men |
| Clinical Manifestations of Hypothyroid | slows everything down |
| Collaborative Care for Hypothyroid | o Low-calorie diet o Meds: levothyroxine in morning on empty stomach, life-long therapy |
| myxedema | term used w/hypothyroidism; ALSO swelling/edema in skin and tissues o Opposite of thyroid storm: slows everything down to the point of possible death; emergency |
| Hyperparathyroidism Definition | Increased secretion of PTH; leads to hypercalcemia & hypophosphatemia |
| Types of Hyperparathyroidism | Secondary: b/c of other disease that causes low calcium Tertiary: renal transplant patients |
| Clinical Manifestations of Hyperparathyroidism | Weakness Low appetite Constipation Fatigue Osteoporosis Kidney stones Hypercalcemia |
| Diagnostics of Hyperparathyroidism | ^^ PTH levels Calcium above 10mg/dl Phosphate: <3mg/dl |
| Surgical Therapy of Hyperparathyroidism | Partial or complete removal of parathyroid gland Supplements for life Monitor for hemorrhage, fluid & electrolyte imbalance, and tetany |
| Hypoparathyroidism definition | Low parathyroid hormone; uncommon results in hypocalcemia & increased phosphorus |
| Hypocalcemia management | 1. IV infusions of calcium for tetany (10-20mL of 10% solution) 2. Vit D. enhance gut absorption of calcium 3. Diet: dark green veggies, tofu, soybeans 4. Monitor Calcium levels |
Created by:
nicolemiele
Popular Nursing sets