NUR 3111 EXAM 2 – Questions With Right Solutions
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Terms in this set (206)
hypothalamus hormones CRH, TRH, GHRH
CRH corticotropin releasing hormone
TRH thyrotropin releasing hormone
GHRH growth hormone releasing hormone
anterior pituitary hormones GH, ACTH, TSH
GH growth hormone
stimulates growth of bone and muscle; promotes
function of GH protein synthesis and fat metabolism; decreases
carbohydrate metabolism
ACTH adrenocorticotropic hormone
stimulates synthesis and secretion of adrenal cortical
function of ACTH
hormones
TSH thyroid stimulating hormone
function of TSH stimulates synthesis and secretion of thyroid hormones
posterior pituitary ADH/vasopressin
hormones
ADH/vasopressin antidiuretic hormone
function of increases water reabsorption by the kidney
ADH/vasopressin
hypopituitarism hyposecretion of one or more pituitary gland hormones
causes of hypopituitarism tumor, infarction, trauma, radiation
panhypopituitarism loss of all pituitary hormones
treat cause; replace deficient hormones; educate
collaborative care of
patient on replacement hormones and S&S of
hypopituitarism
abnormalities
, acromegaly oversecretion of GH
when does acromegaly in adulthood, after growth plates close
occur?
most common cause of pituitary tumor
acromegaly
excessive skeletal and tissue growth; severe headaches;
manifestations of
visual disturbances; muscular weakness; decalcification
acromegaly
of skeleton; sleep apnea; lowering of voice
collaborative care of hypophysectomy; gamma knife destruction of tumor;
acromegaly GH suppressing medication; patient education
diabetes insipidus (DI) undersecretion of ADH
head trauma; neurosurgery; radiation of pituitary;
causes of DI
infections of CNS; tumor
thirst; profound urine output; very dilute urine; S&S of
clinical manifestations of DI hypovolemia; high serum osmo; high serum sodium; low
urine osmo
treat cause; replace ADH; fluid replacement; monitor
collaborative care of DI I&O/weight; education; emergency measures; medical
ID
syndrome of inappropriate oversecretion of ADH
antidiuretic hormone
(SIADH)
head trauma; neurosurgery; radiation of pituitary;
infections of CNS; malignant cells that can manufacture
causes of SIADH
and secrete ADH (esp. lungs); lung disorders
(pneumothorax/pneumonia); medications
medications that can cause thiazide diuretics; tricyclic antidepressants;
SIADH phenothiazines
neurological S&S of hypervolemia; decreased urine
clinical manifestations of
output; concentrated urine; low serum osmo; low serum
SIADH
sodium; high urine osmo; S&S of hyponatremia
treat cause; slow replacement of sodium (hypertonic
collaborative care of saline); loop diuretics; fluid restriction; monitor
SIADH I&O/weight and neurological status; seizure
precautions; careful skincare with edema
Save
Terms in this set (206)
hypothalamus hormones CRH, TRH, GHRH
CRH corticotropin releasing hormone
TRH thyrotropin releasing hormone
GHRH growth hormone releasing hormone
anterior pituitary hormones GH, ACTH, TSH
GH growth hormone
stimulates growth of bone and muscle; promotes
function of GH protein synthesis and fat metabolism; decreases
carbohydrate metabolism
ACTH adrenocorticotropic hormone
stimulates synthesis and secretion of adrenal cortical
function of ACTH
hormones
TSH thyroid stimulating hormone
function of TSH stimulates synthesis and secretion of thyroid hormones
posterior pituitary ADH/vasopressin
hormones
ADH/vasopressin antidiuretic hormone
function of increases water reabsorption by the kidney
ADH/vasopressin
hypopituitarism hyposecretion of one or more pituitary gland hormones
causes of hypopituitarism tumor, infarction, trauma, radiation
panhypopituitarism loss of all pituitary hormones
treat cause; replace deficient hormones; educate
collaborative care of
patient on replacement hormones and S&S of
hypopituitarism
abnormalities
, acromegaly oversecretion of GH
when does acromegaly in adulthood, after growth plates close
occur?
most common cause of pituitary tumor
acromegaly
excessive skeletal and tissue growth; severe headaches;
manifestations of
visual disturbances; muscular weakness; decalcification
acromegaly
of skeleton; sleep apnea; lowering of voice
collaborative care of hypophysectomy; gamma knife destruction of tumor;
acromegaly GH suppressing medication; patient education
diabetes insipidus (DI) undersecretion of ADH
head trauma; neurosurgery; radiation of pituitary;
causes of DI
infections of CNS; tumor
thirst; profound urine output; very dilute urine; S&S of
clinical manifestations of DI hypovolemia; high serum osmo; high serum sodium; low
urine osmo
treat cause; replace ADH; fluid replacement; monitor
collaborative care of DI I&O/weight; education; emergency measures; medical
ID
syndrome of inappropriate oversecretion of ADH
antidiuretic hormone
(SIADH)
head trauma; neurosurgery; radiation of pituitary;
infections of CNS; malignant cells that can manufacture
causes of SIADH
and secrete ADH (esp. lungs); lung disorders
(pneumothorax/pneumonia); medications
medications that can cause thiazide diuretics; tricyclic antidepressants;
SIADH phenothiazines
neurological S&S of hypervolemia; decreased urine
clinical manifestations of
output; concentrated urine; low serum osmo; low serum
SIADH
sodium; high urine osmo; S&S of hyponatremia
treat cause; slow replacement of sodium (hypertonic
collaborative care of saline); loop diuretics; fluid restriction; monitor
SIADH I&O/weight and neurological status; seizure
precautions; careful skincare with edema
