MDC II - Final Exam – Rasmussen- Modules 8, 9, 10- 100% Pass!!

MDC II - Final Exam – Rasmussen- Modules 8, 9, 10- 100% Pass!! *PT PAP HOT* ▪ Pituitary ▪ Thyroid ▪ Pancreas ▪ Adrenals ▪ Parathyroid ▪ Hypothalamus ▪ Ovaries ▪ Testes -Answer-What are the glands of the endocrine system? (SATA Q?) Grave's disease -Answer-an autoimmune disorder that is caused by hyperthyroidism and is characterized by *goiter and/or exophthalmos* *Treatments* ▪ Rx: methimazole, atenolol, and *iodine-131* ▪ radiation therapy *Nursing Interventions* ▪ provide a calm environment ▪ keep patients room cool ▪ assess pain ▪ prepare patient for surgery ▪ post-operative care ▪ maintain a patent airway -------- same as hypothyroidism --------- ▪ provide periods of rest ▪ continuous cardiac monitoring ▪ monitor vital signs ▪ daily weight ▪ monitor I&O ▪ monitor laboratory tests ▪ apply antiembolism stockings to prevent DVT ▪ provide skin care -Answer-*HYPERthyroidism aka Grave's disease* ▪ Treatments pituitary gland -Answer-_________ is considered to be the "master gland" as it secretes hormones that control other parts of the endocrine system. ▪ ACTH ▪ TSH ▪ are the most life threatening because they cause a decrease in the secretion of vital hormones from the adrenal and thyroid glands. -Answer-*Anterior HYPOpituitarism* ▪ Deficiencies of which two hormones are the most life threatening? Bloodwork (*all are DECREASED*) ▪ T3 ▪ T4 ▪ Prolactin ▪ Testosterone ▪ Estradiol Scans (you'll always draw blood work first for diagnostics though) ▪ CT/MRI - detect bone or soft tissue lesions ▪ Skull X-ray - detect enlargement, erosions, and calcification of the sella turcica - Answer-*Anterior HYPOpituitarism* ▪ Laboratory & Diagnostic Tests TRUE! We have very small amounts of testosterone or estradiol no matter if we are men or women. -Answer-T/F: do both men and women have testosterone and estradiol? *INCREASED:* ▪ Prolactin - this might be the answer to the Q ▪ Cortisol ▪ TSH ▪ LH (men) ▪ FSH (men) ▪ Glucose *DECREASED:* ▪ Gonadotropin -Answer-*Anterior HYPERpituitarism* (SATA Q?) ▪ Laboratory Tests ▪ Prevent infection because they are immunosuppressed ▪ handwashing -Answer-HYPERcortisolism (aka Cushing's Disease) *Priority Intervention* diabetes insipidus -Answer-▪ *Deficiency of ADH* resulting in large volumes of dilute urine ▪ A disorder of the posterior pituitary gland *They are losing a lot of water:* • polyuria • polydipsia • dehydration • fluid/electrolyte imbalance • dilute, low urine specific gravity (1.005) • high plasma osmolarity • output does not decrease when fluid intake decreases *remember! your s/s are going to look like dehydration* • tachycardia • hypotension • poor turgor • dry mucous membranes • decreased cognition • ataxia • irritability -Answer-*Posterior Pituitary Gland: Diabetes Insipidus:* ▪ What will the patient present with?/Key Symptoms ▪ desmopressin acetate (a synthetic form of *vasopressin*) ▪ can be PO, SL, or intranasal -Answer-*Posterior Pi