HIT 3 Endocrine notes – Flashcards
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Most common disorder related to posterior pituitary dysfunction
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Diabetes insipidus
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Hormones secreted by posterior pituitary
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ADH (vasopressin) and oxytocin
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Acromegaly
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Excess of growth hormone in adults
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Hormones secreted by anterior pituitary
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ACTH, GH, TSH, FSH, LH, Prolactin
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Too little ADH
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Diabetes insipidus
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Too much ADH
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SIADH
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Too much ACTH
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Cushings
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Too little ACTH
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Addisons
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Most common cause of hyperthyroidism
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Graves' disease
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Which electrolyte disturbance most commonly follows thyroid surgery?
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Hypocalcemia
Explanation:
Hypocalcemia may follow thyroid surgery if the parathyroid glands were removed accidentally. Signs and symptoms of hypocalcemia may be delayed for up to 7 days after surgery.
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Which of the following diagnostic tests are done to determine suspected pituitary tumor?
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A computed tomography scan
Explanation:
A computed tomography or magnetic resonance imaging scan is done to detect a suspected pituitary tumor. Radiographs of the chest or abdomen are taken to detect tumors. Radiographs also determine the size of the organ and their location. However, measuring blood hormone levels helps determine the functioning of endocrine glands. A radioimmunoassay determines the concentration of a substance in plasma.
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The nurse is aware that the best time of day for the total large corticosteroid dose is between:
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7:00 AM and 8:00 AM
Explanation:
The best time of day for the total large corticosteroid dose is in the early morning, between 7:00 AM and 8:00 AM, when the adrenal gland is most active.
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A nurse is caring for a client with a kidney disorder. What role might the kidneys have in causing the client to have fluctuations in blood pressure?
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The kidneys release renin, a hormone that initiates the production of angiotensin and aldosterone to increase blood pressure and blood volume.
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Which of the following would the nurse expect to find in a client with severe hyperthyroidism?
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Exophthalmos
Explanation:
Exophthalmos that results from enlarged muscle and fatty tissue surrounding the rear and sides of the eyeball is seen in clients with severe hyperthyroidism. Tetany is the symptom of acute and sudden hypoparathyroidism. Buffalo hump and striae are the symptoms of Cushing's syndrome.
