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Class notes

WSCC MEDSURG 2 EXAM 3

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detailed class notes to prepare you for the exam

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Index
One
03
EXAM 3




Two
Three
TOPICS




Four
Five
endo Iv




Six
SKILLS LAB



Seven
renal

Eight
1
respiratory Nine


cardiac v
Ten
Eleven Twelve




respiratory 11

©Jena W Designs | jenawdesigns.com

, mastergland
RENAL IV PITUITARY GLAND
NTERIOR PITUITARY
cretesin response tohypothalamus stim
HORMONES
growthhormone
thyroidstimulatinghormone TSH
adrenocorticotropichormone ACTH
gonadotropin FSHLH
prolactin
owthey work
ormones into bloodstream
anteriorpituitarygland
argetglands releasehormone
sites
change is made toipgsrp.gg
v38
OSTERIOR PITUITARY
Steriorlobehas axonsthat originate neurons talk
the hypothalmus
primarypurpose hormone storage
vasopressin antidiuretichormone actsonkidneysto promote waterreabsorption
oxytocintargetsuterus mammaryglandstostim contraction breast milk release

HYPOPITUITARISM
deficiencyofoneormorepituitaryhormonesresultsin metabolicproblems sexualdysfunction
of
panhypopituitarism rare deficiency ALLpituitaryhormones dueto total removal
causedby
severemalnutrition rapid wtlossshocksevere v BP
Sheehan'ssyndrome causeofpituitaryinfarction
postpartumenlargedpituitarythat hemorrages
benignor malignant tumors compress destroytissu


affects ALL hormones


a Elk v
Busy
gyannon
saltsugarsex


inicalmanifestations
headache pressureontheopticnervedueto growth
loss of visual acuity
blindnessduetopressure

sin targetglands addisonshypothyroid hypoparabone GHissues INTERVENTIONS
replacementofdeficienthormones
stimulation androgentherapy
test to makeglandproducehormone does notthat gland GHreplacementforkids
ray angiogram due to boneissues to rule out brain aneurysm

, GROWTH HORMONE dwarfism WT HT
DEFICIENCY
nhibits somaticgrowth in ALLtissues ALL cellsofthebody
nourishedappearingchild w stunted ht mayappearoverweightorobese
delayedsexual development

GH stimulation test is requiredfor diagnosis
accurate ht wtmeasurementsto know if the tx is working

TX if a tumorispresent removal is necessary
replacementofGH somatropin SQ 1M dailyorweekly
Stopwhenepiphyses growthplates arefused bonescan nolongergrow sotheythicken BAD
monitor bloodglucose candevelopacuteDMI
must haveaccuratewt fordosing

nursing care prepare pt familyforwhat'sto come
SQdaily weekly BGmonitoring it's a lot


HYPERPITUITARISM
hormone oversecretionoccurs with pituitarytumors or hyperplasia overgrowth
whichcauses anoverproductionofGHorprolactin

clinical manifestations galactorrhea amenorrhea infertility
GROWTH HORMONE gigantism acromegaly affectsallbones tissues
EXCESS
highs a is termegary

ACROMEGALY
diagnosedbyincreasedserum somatotropin GH rays physical examination
affectsthe hands lips nose feet face first
earlydectection TX is key topreventfurtherdamage notreversible but canstopprogression
omplications nerve entrapment enlargement GHblocksinsulin hyperglycemia
linical manifestations
enlarged pituitarygland headaches prominent browridge protrudingjaw goiter
enlargedlips speechproblems hypertrophyof softtissue vocal cords women w deepvoices

will askfamily tobring in picturesfromyoungerdays to see verygradual changes

ursinginterventions
drugto inhibitGHrelease bromocriptifé somatostatin used in olderpts
GHreceptorblocker peguisomant
transnasal
radiationtherapy lots of S E rx of vision damage

SURG hypophysectomy transnasal transsphenoidal
low invasivebut still brainsurgery
trytoleave anyglandyoucan upperum

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Uploaded on
April 8, 2026
Number of pages
19
Written in
2025/2026
Type
Class notes
Professor(s)
Mr. pierce, mrs. morgan
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