MDC II - Final Exam - Rasmussen
1. *PT PAP HOT*
ªPituitary ªThyroid
ªPancreas ªAdrenals ªParathyroid
ªHypothalamus ªOvaries
ªTestes: What are the glands of the endocrine system? (SATA
Q?)
2. Grave's disease: an autoimmune disorder that is
caused by hyperthyroidism and is characterized by
*goiter and/or exophthalmos*
3. *Treatments* ªRx: methimazole, atenolol, and
*iodine-131* ªradiation therapy
*Nursing Interventions*
ªprovide a calm environment
ªkeep patients room cool
ªassess pain
ªprepare patient for surgery ªpost-operative care
ªmaintain a patent airway
-------- same as hypothyroidism -------- ªprovide periods
of rest ªcontinuous cardiac monitoring
ªmonitor vital signs
ªdaily weight
ªmonitor I&O
ªmonitor laboratory tests
ªapply antiembolism stockings to prevent DVT ªprovide
skin care: *HYPERthyroidism aka Grave's disease*
ªTreatments
, MDC II - Final Exam - Rasmussen
4. pituitary gland: _________ is considered to be the "master
gland" as it secretes hormones that control other parts of the
endocrine system.
5. ªACTH ªTSH
ªare the most life threatening because they cause a decrease in the
secretion of vital hormones from the adrenal and thyroid glands.: *Anterior
HYPOpituitarism*
ªDeficiencies of which two hormones are the most life threatening?
6. Bloodwork (*all are DECREASED*) ªT3 ªT4 ªProlactin
ªTestosterone ªEstradiol
Scans (you'll always draw blood work first for diagnostics
though) ªCT/MRI - detect bone or soft tissue lesions
ªSkull X-ray - detect enlargement, erosions, and calcification of the sella
turcica: *Anterior HYPOpituitarism*
ªLaboratory & Diagnostic Tests
7. TRUE! We have very small amounts of testosterone or
estradiol no matter if we are men or women.: T/F: do both men
and women have testosterone and estradiol?
8. *INCREASED:* ªProlactin - this might be the answer to the Q
ªCortisol ªTSH ªLH (men) ªFSH (men)
ªGlucose
*DECREASED:*
ªGonadotropin: *Anterior
HYPERpituitarism*
(SATA Q?)
, MDC II - Final Exam - Rasmussen
ªLaboratory Tests
9. ªPrevent infection because they are
immunosuppressed ªhandwashing: HYPERcortisolism
(aka Cushing's Disease)
*Priority Intervention*
10. diabetes insipidus: ª *Deficiency of ADH* resulting in
large volumes of dilute urine ªA disorder of the posterior
pituitary gland
11. *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: *Posterior Pituitary Gland: Diabetes
Insipidus:* ªWhat will the patient present with?/Key
Symptoms
1. *PT PAP HOT*
ªPituitary ªThyroid
ªPancreas ªAdrenals ªParathyroid
ªHypothalamus ªOvaries
ªTestes: What are the glands of the endocrine system? (SATA
Q?)
2. Grave's disease: an autoimmune disorder that is
caused by hyperthyroidism and is characterized by
*goiter and/or exophthalmos*
3. *Treatments* ªRx: methimazole, atenolol, and
*iodine-131* ªradiation therapy
*Nursing Interventions*
ªprovide a calm environment
ªkeep patients room cool
ªassess pain
ªprepare patient for surgery ªpost-operative care
ªmaintain a patent airway
-------- same as hypothyroidism -------- ªprovide periods
of rest ªcontinuous cardiac monitoring
ªmonitor vital signs
ªdaily weight
ªmonitor I&O
ªmonitor laboratory tests
ªapply antiembolism stockings to prevent DVT ªprovide
skin care: *HYPERthyroidism aka Grave's disease*
ªTreatments
, MDC II - Final Exam - Rasmussen
4. pituitary gland: _________ is considered to be the "master
gland" as it secretes hormones that control other parts of the
endocrine system.
5. ªACTH ªTSH
ªare the most life threatening because they cause a decrease in the
secretion of vital hormones from the adrenal and thyroid glands.: *Anterior
HYPOpituitarism*
ªDeficiencies of which two hormones are the most life threatening?
6. Bloodwork (*all are DECREASED*) ªT3 ªT4 ªProlactin
ªTestosterone ªEstradiol
Scans (you'll always draw blood work first for diagnostics
though) ªCT/MRI - detect bone or soft tissue lesions
ªSkull X-ray - detect enlargement, erosions, and calcification of the sella
turcica: *Anterior HYPOpituitarism*
ªLaboratory & Diagnostic Tests
7. TRUE! We have very small amounts of testosterone or
estradiol no matter if we are men or women.: T/F: do both men
and women have testosterone and estradiol?
8. *INCREASED:* ªProlactin - this might be the answer to the Q
ªCortisol ªTSH ªLH (men) ªFSH (men)
ªGlucose
*DECREASED:*
ªGonadotropin: *Anterior
HYPERpituitarism*
(SATA Q?)
, MDC II - Final Exam - Rasmussen
ªLaboratory Tests
9. ªPrevent infection because they are
immunosuppressed ªhandwashing: HYPERcortisolism
(aka Cushing's Disease)
*Priority Intervention*
10. diabetes insipidus: ª *Deficiency of ADH* resulting in
large volumes of dilute urine ªA disorder of the posterior
pituitary gland
11. *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: *Posterior Pituitary Gland: Diabetes
Insipidus:* ªWhat will the patient present with?/Key
Symptoms
