Anatomy and Physiology
I am a chemical that coordinates different body functions by carrying messages through the blood to your organs, skin, and other tissues.
What are hormones
I am a decrease in the secretion of ADH causing the kidneys not collecting and/or concentrating urine appropriately. This results in excessive dilute urine and excessive thirst.
What is Diabetes Insipidus (DI)
I am the result of too many circulating thyroid hormones (T3, T4, and calcitonin).
What is Hyperthyroidism
I am defined as an inadequate amount of circulating thyroid hormones (T3 and T4) leading to a decrease in metabolic rate slowing all systems of the body.
What is Hypothyroidism
I have two lobes connected by the isthmus. My main job is metabolism control.
What is the Thyroid
I am defined as a problem with the gland/tissue itself.
what is primary dysfunction
I am the result of excess growth hormone in adults leading to an increase in the size of body parts but not height.
What is cromegaly
Name symptoms of Hyperthyroidism.
What is Anxiety, fine/tin hair, increased sweating, increased appetite, difficulty sleeping, sensitivity to heat, weight loss.
Name risk factors for hypothyroidism.
What is female age 30-60, medications: lithium, amiodarone, rifampin, phenytoin, carbamazepine, not enough iodine intake, radiation therapy to head and neck
Name hormones secreted by the thyroid.
What are Thyroxine (T4), triiodothyronine (T3), Calcitonin
I am sometimes called the "master gland".
What is the pituitary gland
Risk factors for me include head injury, lesion or tumor, surgery or irradiation near or around the pituitary gland, cancer, and taking lithium carbonate or demeclocycline.
What is Diabetes Insipidus (DI)
I am the protrusion of one or both eyeballs out of the eye socket.
What is Exophthalmos
Name diagnostic and lab findings for hypothyroidism
What are Decreased T3 and T4, Increased TSH in primary hypothyroidism, increased cholesterol, thyroid scan will show low uptake of radioactive prep, ECG - sinus bradycardia and dysrhythmias
I have one job: making and releasing parathyroid hormone (PTH) affecting calcium in the blood.
What is the Parathyroid Gland
Together we are considered the "command center" of the endocrine system.
What are the hypothalamus and pituitary glands
Name nursing care for Syndrome of Inappropriate Antidiuretic Hormone (SIADH).
What are fluid restriction (500-1000 ml/day), monitor HTN, hypothermia or tachycardia, daily weights, monitor lung sounds, assess for changes in mental status, and for s/s HF.
I am a life-long autoimmune disease where the immune system attacks the thyroid gland.
What is Graves Disease
I am the most common medication to treat hypothyroidism and should be taken 30-60 minutes before eating.
What is Levothyroxine (Synthroid)
Nursing care for hyperthyroidism includes:
What are maintain a calm environment and rest, monitor mental status, monitor nutritional status, monitor I&O and vital signs, eye protection, reduced room temperature, administer medications as prescribed.
I am defined as an increased amount of hormone in the bloodstream resulting in decreased secretion of that same hormone and other hormones that stimulate its release.
What is the negative feedback loop
I am the increase of ADH causing the kidneys to absorb too much water resulting in fluid retention/fluid volume overload.
What is Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
I am the sudden surge of large amounts of thyroid hormones into the blood stream causing even greater increase in body metabolism. I am a medical emergency!
What is Thyroid Storm (thyrotoxicosis)
I am a life threatening emergency that occurs with hypothyroidism is left untreated, poorly managed, or when a stressor affects an individual with hypothyroidism.
What is Myxedema Coma
Name the symptoms experienced in both hypothyroidism and hyperthyroidism.
What are fatigue, hair loss, insomnia