Hormone Havoc
Signs and Symptoms
Diagnose This!
Nursing Intervention
Education Station
100

Which gland releases growth hormone? 

What is pituitary gland?

100

What electrolyte imbalance is seen in SIADH?

What is hyponatremia?

100

Which lab test measures thyroid function?

What is TSH, T₃, and T₄ levels?

100

What fluid order should be reinforced for SIADH?

What is Fluid restriction as ordered; strict I&O; daily weights?

100

Which disorder requires lifelong hormone replacement?

What is hypothyroidism (or pituitary dwarfism with GH therapy)?

200

What hormone is excessive in gigantism?

What is growth hormone? 

200

Name one classic symptom of hypothyroidism. 

What is Lethargy, constipation, cold intolerance, weight gain, dry skin?

200

Which test supports the diagnosis of SIADH?

What is Low serum osmolality and sodium; high urine specific gravity/osmolality?

200

Medication of choice for hypothyroidism?

What is Levothyroxine (Synthroid)?

200

Early signs of hypoglycemia to teach parents?

What is shakiness, sweating, irritability, confusion, headache?

300

Which hormone when overproduced causes fluid retention and hyponatremia?

What is ADH?

300

What sign is typical of hyperthyroidism?

What is tachycardia, heat intolerance, weight loss, exophthalmos? 

300

Which test monitors long-term glucose control?

What is Hemoglobin A1C?

300

Key teaching for corticosteroid therapy (Cushing)?

What is do not abruptly stop med; monitor for infection and hyperglycemia?

300

Proper storage for insulin vials?

What is unopened refrigerated; in-use at room temp (up to 28 days); never frozen?

400

Which hormone is deficient in hypothyroidism?

What is Thyroxine (T4)?

400

Describe two “Cushingoid” features.

What is Moon face, truncal obesity, buffalo hump, thin extremities, striae?

400

Which test differentiates pituitary dwarfism from hypothyroidism?

What is growth hormone stimulation test?

400

Immediate treatment for hypoglycemia?

What is fast-acting glucose source (juice, candy, glucose tablet)?

400

One classroom precaution for a hyperthyroid child?

What is avoid heat and overexertion; provide cool environment; encourage rest?

500

Which hormone is overproduced in Cushing syndrome?

What is cortisol?

500

List two hallmark symptoms of type 1 diabetes mellitus.

What is Polyuria, polydipsia, polyphagia?

500

What finding confirms Cushing syndrome?

What is elevated cortisol after dexamethasone suppression test?

500

When should insulin be administered for type 1 DM?

What is before meals as prescribed; adjust based on blood glucose and carbohydrate intake?

500

What must be monitored for a child with SIADH on fluid restriction?

What is serum sodium and daily weight for fluid retention or hyponatremia?