Endocrine Wk 1

Anatomy and Physiology

100

I am a chemical that coordinates different body functions by carrying messages through the blood to your organs, skin, and other tissues.

Hormones

200

I am defined as a problem with the gland/tissue itself.

Primary dysfunction

300

I am sometimes called the "master gland".

Pituitary Gland

400

Together we are considered the "command center" of the endocrine system.

Hypothalamus and Pituitary Gland

500

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.

Negative Feedback Loop

Pituitary disorders

100

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.

Diabetes Insipidus (DI)

200

I am the result of excess growth hormone in adults leading to an increase in the size of body parts but not height.

Acromegaly

300

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.

Diabetes Insipidus (DI)

400

Name nursing care for Syndrome of Inappropriate Antidiuretic Hormone (SIADH).

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.

500

I am the increase of ADH causing the kidneys to absorb too much water resulting in fluid retention/fluid volume overload.

Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Hyperthyroidism

100

I am the result of too many circulating thyroid hormones (T3, T4, and calcitonin). 

Hyperthyroidism

200

Name symptoms of Hyperthyroidism.

Anxiety, fine/tin hair, increased sweating, increased appetite, difficulty sleeping, sensitivity to heat, weight loss.

300

I am the protrusion of one or both eyeballs out of the eye socket.

Exophthalmos

400

I am a life-long autoimmune disease where the immune system attacks the thyroid gland.

Graves Disease

500

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! 

Thyroid Storm (thyrotoxicosis)

Hypothyroid

100

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.

Hypothyroidism

200

Name risk factors for hypothyroidism.

female age 30-60

medications: lithium, amiodarone, rifampin, phenytoin, carbamazepine

not enough iodine intake

radiation therapy to head and neck

300

Name diagnostics and lab findings for hypothyroidism

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

400

I am the most common medication to treat hypothyroidism and should be taken 30-60 minutes before eating.

Levothyroxine (Synthroid)

500

I am a life threatening emergency that occurs with hypothyroidism is left untreated, poorly managed, or when a stressor affects an individual with hypothyroidism.

Myxedema Coma

Misc.

100

I have two lobes connected by the isthmus. My main job is metabolism control.

Thyroid

200

Name hormones secreted by the thyroid.

Thyroxine (T4)

triiodothyronine (T3)

Calcitonin

300

I have one job: making and releasing parathyroid hormone (PTH) affecting calcium in the blood.

Parathyroid Gland

400

Nursing care for hyperthyroidism includes:

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. 

500

Name the symptoms experienced in both hypothyroidism and hyperthyroidism.

fatigue, hair loss, insomnia