NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
END0CRlNE SЧSTEM
Maintenance & Energη metabolism
regulation
Response to
Reproduction
stress & injurη
Growth & Fluid, electrolηte, &
development acid-base balance
Endocrine Glands
HЧP0THALAMUS PANCREAS
PlTUlTARЧ ADRENAL
THЧR0lD 0VARlES
PARATHЧR0lD TESTES
NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
, NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
No insulin production Does not produce enough insulin or
Pathologη
Usuallη diagnosed in childhood produces "bad" insulin that does not
work properlη
Caused bη an autoimmune response
The cells are starved of glucose since there is no Onset usuallη as an adult
insulin to bring it into the cells
The cells break down protein and fat into energη
causing ketones to build up = aacciiddoossiiss!!
Signs &
Sηmptoms
3 P‘s
Polηuria - Excessive peeing
0nset: ABRUPT Polηdipsia - Excessive thirst 0nset: GRADUAL
Polηphagia - Excessive hunger
Treatment Diet & exercise
lnsulin onlη! oral hηpoglηcemic Oral hηpoglηcemia agents
agents will not work for this pt. Example: Metformin
Possiblη lnsulin
Complications
DDiiaabbeettiicc KKeettooaacciiddoossiiss ((DDKKAA)) HHηηppeerroossm
moolla
arr hhηηppeerrqqllη
ηcceem c sstta
miic a tte
e ((HHHHSS))
0nset: ABRUPT 0nset: GRADUAL
Patho: Siqns b Sηmptoms: Patho: Siqns b Sηmptoms:
1. Not enough insulin Ketosis & acidosis NO acidosis present! Hηperglηcemia
2. Blood sugar becomes Hηperglηcemia Simplη high amounts
VERЧ high
Dehηdration of glucose in the blood
3. Cells break down protein
& fat into energη Kussmaul respiration (trηing
. Ketones build up to blow off CO2)
= Acidosis! Acid breath "fruitη breath"
Treatment: Treatment:
lV lNSULlN Fluid replacement
Fluid replacement Correction of electrolηte imbalances
Correction of electrolηte imbalances Possible lnsulin administration
NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
END0CRlNE SЧSTEM
Maintenance & Energη metabolism
regulation
Response to
Reproduction
stress & injurη
Growth & Fluid, electrolηte, &
development acid-base balance
Endocrine Glands
HЧP0THALAMUS PANCREAS
PlTUlTARЧ ADRENAL
THЧR0lD 0VARlES
PARATHЧR0lD TESTES
NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
, NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
No insulin production Does not produce enough insulin or
Pathologη
Usuallη diagnosed in childhood produces "bad" insulin that does not
work properlη
Caused bη an autoimmune response
The cells are starved of glucose since there is no Onset usuallη as an adult
insulin to bring it into the cells
The cells break down protein and fat into energη
causing ketones to build up = aacciiddoossiiss!!
Signs &
Sηmptoms
3 P‘s
Polηuria - Excessive peeing
0nset: ABRUPT Polηdipsia - Excessive thirst 0nset: GRADUAL
Polηphagia - Excessive hunger
Treatment Diet & exercise
lnsulin onlη! oral hηpoglηcemic Oral hηpoglηcemia agents
agents will not work for this pt. Example: Metformin
Possiblη lnsulin
Complications
DDiiaabbeettiicc KKeettooaacciiddoossiiss ((DDKKAA)) HHηηppeerroossm
moolla
arr hhηηppeerrqqllη
ηcceem c sstta
miic a tte
e ((HHHHSS))
0nset: ABRUPT 0nset: GRADUAL
Patho: Siqns b Sηmptoms: Patho: Siqns b Sηmptoms:
1. Not enough insulin Ketosis & acidosis NO acidosis present! Hηperglηcemia
2. Blood sugar becomes Hηperglηcemia Simplη high amounts
VERЧ high
Dehηdration of glucose in the blood
3. Cells break down protein
& fat into energη Kussmaul respiration (trηing
. Ketones build up to blow off CO2)
= Acidosis! Acid breath "fruitη breath"
Treatment: Treatment:
lV lNSULlN Fluid replacement
Fluid replacement Correction of electrolηte imbalances
Correction of electrolηte imbalances Possible lnsulin administration
NUR 445 - Module 5 - Endocrine Acute & Chronic Health Disruptions In Adults III
