Pituitary Power
This is is the most common pituitary hormone deficiency in children.
What is Growth Hormone Deficiency?
A13-year-old hassleep disturbances, hyperactivity, heat intolerance, weight loss, palpitations, and difficulty concentrating. Investigate for:
What is hyperthyroidism?
This test provides information about the child's average blood glucose level over approximately the previous 2–3 months.
What is hemoglobin A1C?
A child with this disorder has excessive urination and thirst because of inadequate ADH activity.
What is diabetes insipidus (DI) / arginine vasopressin deficiency (AVP-D)?
Treatment for growth hormone deficiency typically continues until what happens?
What is closure of the growth plates?
A child being evaluated for growth hormone deficiency may have an X-ray of the hand and wrist to determine this.
What is bone age?
This medication should be started as soon as possible in an infant diagnosed with congenital hypothyroidism, preferably before 2 weeks of age.
What is synthetic thyroid hormone replacement OR levothyroxine?
What are two of the mainstays of treatment for a child with Type I diabetes?
A child with constantly thirsty but remains dehydrated. This diagnostic test is commonly used to evaluate for Diabetes insipidus:
What is a water deprivation test?
A child with growth hormone deficiency will typically have normal body proportions but this finding compared with peers.
What is short stature?
This treatment is administered by injection, typically at bedtime, for children with growth hormone deficiency.
What is synthetic human growth hormone?
A teenager has weight loss, heat intolerance, tremors, palpitations, and hyperactivity. The nurse suspects hyperthyroidism. This autoimmune disorder is the most common cause in children and adolescents.
What is Grave's disease?
Insulin resistance and impaired beta-cell function result in hyperglycemia; once considered an adult disease but increasingly common in children.
What is type 2 diabetes mellitus?
A child develops extreme thirst and bed-wetting. The nurse suspects DI. This hormone normally signals the kidneys to retain water.
What is ADH (antidiuretic hormone/vasopressin)?
A child with hyperthyroidism may experience weight loss, heat intolerance, tremors, and this cardiovascular finding.
What are palpitations? OR Tachycardia.
A 7-year-old girl has breast development and axillary and pubic hair growth. What condition is suspected?
What is precocious puberty?
Before age 8 in girls and age 9 in boys.
How would a child with hyperthyroidism be treated?
What are antithyroid drugs like methimazole? OR
What is radioactive iodine or surgery? (if antithyroid drugs do not work or are contraindicated)
A diabetic patient has a carb ratio of 1:12 and ate 300 grams of carbs for lunch. How much insulin should the patient receive?
What is 25 units?
A 14-year-old boy has no signs of pubertal development. Low LH and FSH levels are found. This condition is being considered:
What is delayed puberty?
The nurse reminds the parents of a 16-year-old with diabetes that diabetes management must occur in many settings and may affect school, home, and this activity:
What is sports participation?
A child with this condition has normal body proportions but is significantly shorter than peers and may drop below the 3rd percentile on the growth chart.
What is growth hormone deficiency?
An infant presents with hypotonia, large fontanels, jaundice, large tongue, dry skin, abdominal distention, umbilical hernia, bradycardia, hypotension, and anemia. What is the likely diagnosis?
What is congenital hypothyroidism?
A child with type 1 diabetes has abdominal pain, vomiting, fruity breath, Kussmaul respirations, and altered mental status. The nurse recognizes that without treatment, this complication can progress to coma and death.
What is DKA?
A child with diabetes has several days of glucose readings consistently above 200 mg/dL before dinner. This pattern may indicate that which aspect of the treatment plan needs adjustment?
What is the insulin dose?
If left untreated, a child with precocious puberty may experience what effect?
What is early fertility OR short stature