Endocrine
Describe some age related changes with endocrine function (4)
Declining metabolism
Rising blood glucose levels
Decreasing epinephrine levels
Decreasing thyroxine levels
The Parathormone does this?
Acts on bone to release calcium into the blood
This gland gland is the only gland that is both an endocrine gland and an exocrine gland
Pancreas
A female patient who is scheduled to undergo a glucose tolerance test, which medication would you instruct the patient to withhold before the test?
Oral contraceptive
What key diagnostic test is used for Diabetes insipidus?
fluid deprivation test
In which body process(es) is/are the endocrine system involved?
Regulation of metabolism
Growth rate
Physical development
Sexual function
Reproductive process
Which corticoid counteracts the inflammatory response?
Cortisol
How would you accurately describe the role of endocrine glands?
Endocrine glands release secretions directly into the bloodstream
What diagnostic test indicated consistent glucose control? ...and what is ideal result?
glycosylated hemoglobin (HbA1c)
For adults managing diabetes, the American Diabetes Association generally recommends a target A1C of 7.0% or lower, though individual goals vary based on age, health history, and risk of low blood sugar
What may be some concerns after hypophysectomy 3 days ago?
Begins to have 3000 mL of urine output every shift (HIGH) and complains of thirst and a dry mouth
What are some key causative factor(s) may be responsible for primary endocrine disorders?
Hormone overproduction
Severe infection
What is one key intervention to help reduce cortisol levels?
keep stress to a minimum because low cortisol levels make it harder for my body to deal with stress
What do Beta cells do?
This structural unit secretes insulin
How would you instruct a patient about the timing of cortisol level testing for a patient?
Blood samples collected during the day and night.
What would expected urine output for a patient with DI be in 24 hour period?
15-20L
Which manifestations occur with a benign pituitary adenoma? (4)
Gigantism in children
Acromegaly in adults
Muscle weakness
Joint pain
Where in the body are mineralocorticoids and glucocorticoids produced?
Adrenal cortex
What sis the role of the Adrenal medulla?
Secretes epinephrine and norepinephrine
For what diagnosis would a fructosamine assay best be ordered?
DMII
What is the relationship with DI and Antidiuretic Hormone (ADH)?
decreased production of ADH
Which interventions should the nurse plan for with syndrome of inappropriate secretion of antidiuretic hormone (SIADH)?
Assist with activities of daily living
Record accurate urine
Weigh the patient daily
Assess for changes in level of consciousness
Inadequate luteinizing hormone (LH) levels can impact what reproductive issue?
low levels could cause infertility
Explain Hyperplasia, what is happening?
When an endocrine gland begins to hypersecrete
A patient who is scheduled to have a thyroid panel drawn next week, what common medication would be avoided 2 days before the test?
Aspirin
A patient with central diabetes insipidus (DI) likely has which occurrence as part of his health history?
Brain surgery to remove a tumor