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Chapter 57 Care of Patients with Pituitary Gland Problems – Study Guide & Exam Review

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Review Chapter 57: Care of Patients with Pituitary Gland Problems with a focused study resource covering essential concepts related to pituitary disorders and endocrine function. This material supports understanding common pituitary gland problems, clinical manifestations, assessment findings, diagnostic considerations, treatment approaches, complications, and patient care principles. Ideal for nursing and healthcare students preparing for chapter exams, coursework, clinical practice, and comprehensive review of pituitary and endocrine disorders.

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9/13/26, 5:23 AM Chapter 57 Care of Patients with Pituitary Gland Problems (Adrenal) Flashcards | Quizlet



stimulates reabsorption of sodium, sustaining blood volume what is the function of aldosterone?
and pressure in the face of salt deprivation or extracellular
fluid depletion


Catecholamines (epinephrine and norepinephrine) what hormone is secreted from the adrenal medulla?


increases what happens to blood sugar when a patient takes a steroid?


also known as acute adrenal insufficiency what is an addisonian crisis?
a life-threatening event in which the need for cortisol and
aldosterone is greater than the body's supply (adrenal
gland hypofunction)


surgery what are causes of an addisonian crisis?
trauma
severe infection


also known as adrenal insufficiency what is Addison's disease?
chronic deficiency of cortisol and aldosterone (adrenal
gland hypofunction)


primary: autoimmune disease (tuberculosis back in the day) what are the most common primary and secondary causes of Addison's disease?
secondary: cessation of long-term corticosteroid drug
therapy


fluid deficit and hypoglycemia what are the two main concerns of the nurse when caring for a patient with Addison's
disease and/or addisonian crisis?




https://quizlet.com/845027024/chapter-57-care-of-patients-with-pituitary-gland-problems-adrenal-flash-cards/?funnelUUID=d81aca27-d7d6-4367-bb9c-b5fda3991a51 3/25

,9/13/26, 5:23 AM Chapter 57 Care of Patients with Pituitary Gland Problems (Adrenal) Flashcards | Quizlet



low sodium expected lab values for adrenal gland hypofunction
high potassium
normal to low glucose
high calcium
high bicarb
high BUN
low cortisol




high sodium expected lab values for adrenal gland hyperfunction
low potassium
normal to high glucose
low calcium
low bicarb
normal BUN
high cortisol


10-20 mg/dL normal BUN


23-30 mEq/L normal bicarbonate level


9-10.5 mg/dL normal calcium level

https://quizlet.com/845027024/chapter-57-care-of-patients-with-pituitary-gland-problems-adrenal-flash-cards/?funnelUUID=d81aca27-d7d6-4367-bb9c-b5fda3991a51 4/25

, 9/13/26, 5:23 AM Chapter 57 Care of Patients with Pituitary Gland Problems (Adrenal) Flashcards | Quizlet



-administer prednisone (glucocorticoid): if in crisis, give what is are interventions for Addison's disease and addisonian crisis?
solumedrol (IV prednisone)
-administer fludrocortisone/Florinef (mineralocorticoid):
increases reabsorption of sodium and loss of potassium
-skull x-ray: looking for tumor on pituitary gland
-educate patient on wearing medical alert bracelet


-anger side effects of prednisone
-decreased immune response
-decreased wound healing
-insomnia
-increases HR


taking supplemental steroids leads to suppression of why must nurses educate their patients on not stopping steroid use abruptly?
normal steroid production, so tapering off allows adrenal
glands time to return to their normal patterns of secretion


-hypovolemia signs and symptoms of abrupt steroid cessation
-hypotension
-vomiting/dehydration


also known as hypercortisolism what is Cushing disease?
excess secretion of cortisol from adrenal cortex (adrenal
gland hyperfunction)




https://quizlet.com/845027024/chapter-57-care-of-patients-with-pituitary-gland-problems-adrenal-flash-cards/?funnelUUID=d81aca27-d7d6-4367-bb9c-b5fda3991a51 5/25

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