Term
| Generalized Cause and Treatments for Hormonal Disorders |
|
Definition
Cause: Tumor, dx with blood-hormone measurements
Tx: hypo: lifelong hormone replacement; hyper: surgery/radiation followed by lifelong hormone replacement |
|
|
Term
| Cause and common manifestations of Acromegaly |
|
Definition
C: adenoma
CM: enlargement of hands/feet/noses, hyperglycemia, joint pain |
|
|
Term
| Diagnostic study and tx for acromegaly |
|
Definition
Dx: measure blood GH level
Tx: surgery/irradiation + hormone replacement, sandostatin to reduce GH |
|
|
Term
| Acromegaly assessment and interventions |
|
Definition
Assessment: physical measurements
Tx: treat for diabetes insipidus due to hyperglycemia (more important than compliance education), and ensure compliance with hormone replacement |
|
|
Term
| Major cause and Clinical manifestations of hypopituitarism |
|
Definition
C: tumor
CM: TruSeWeC: truncality (GH), sexual irregularities (FSH/LH), weakness/fatigue/stress intolerance (ACTH/cortisol), cold intolerance/weight gain (thyroid) |
|
|
Term
| Dx & Tx for Hypopituitarism |
|
Definition
Dx: direct measure of hormone levels
Tx: Hormone replacement therapy |
|
|
Term
| Causes and Clinical Manifestations of SIADH |
|
Definition
Syndrome of Inappropriate ADH: malignant tumors, CNS disorders, and drugs (opioids, thiazides, & chemo)
CM: thirst, and decreased urinary output |
|
|
Term
|
Definition
high vs. low Urinary Specific Gravity(USG)
low vs. high serum osmolality |
|
|
Term
| Important intervention for SIADH |
|
Definition
| FLUID RESTRICTION, water toxicity is a major threat |
|
|
Term
| Causes and Clinical Manifestations of DI |
|
Definition
| Diabetes Insipidus: underproduction of ADH due to head injury/tumor; polyuria w/ low USG |
|
|
Term
|
Definition
| Dx for DI, Stop fluids, check urine osmolality: in Central (decreased ADH) DI, urine osmolality rises >9% |
|
|
Term
| Causes and CMs of Cushing Syndrome |
|
Definition
C: Pituitary/Adrenal cortex tumor--> overproduction of corticosteroids
CM: MoB WeTTS! moon face, buffalo hump, weight gain, truncal obesity, thin skin, slow healing |
|
|
Term
| post-op and home care interventions for Cushing syndrome |
|
Definition
Post-op: Monitor fluid/electrolytes (circulation)
HC: medical alert bracelet, and hormone replacement |
|
|
Term
| Important Nursing Interventions when caring for Cushing Pt |
|
Definition
Monitor glums: hyperglycemia is common in cushing
Protect from infection: slow healing |
|
|
Term
| Adrenocortical Insufficiency(Addison's): definition & CMs |
|
Definition
hypofunction of the adrenal cortex
CM: Skin hyperpigmentation, hyponatremia/salt craving, hyperkalemia |
|
|
Term
|
Definition
sharp decrease in adrenocortical hormones
Sx: hyponatremia, generally raised vitals, risk for circulatory collapse |
|
|
Term
| Tx for Adrenocortical Insufficiency |
|
Definition
(Addison's)
HORMONE REPLACEMENT: hydro-, fludrocortisone, Na+, cortisol, stress mgmt. ed. |
|
|
Term
| IV hydrocortisone is given pre bilat. adrenalectomy in order to... |
|
Definition
| ...prevent severe stress reaction (preempt the removal of hydrocortisone from body) |
|
|
Term
| Uses of and complications with corticosteroid therapy |
|
Definition
Uses: acute for anti-inflammation, long term for addison's disease (replacement therapy)
Comp: if quitted cold turkey, can cause adrenal suppression--must taper off |
|
|
Term
| hyperaldosteronism: Definition, & CM |
|
Definition
Def: Na retention, H/K excretion due to kidney malfunction
CM: HTN, confusion & Headache |
|
|
Term
| Tx & Nursing Interventions for primary hyperaldosteronism |
|
Definition
Tx: adrenalectomy + hormone replacement
NI: F/E status, and CV status (risk for HTN) |
|
|
Term
| Pheochromocytoma: def & CM |
|
Definition
def: overproduction of catecholamines (epinephrines)
CM: HTN, Headache |
|
|
Term
|
Definition
Dx: catecholamine metabolite in urine/blood
Tx: Alpha/beta-adrenergic receptor blockers pre- & post-op to prevent HTN crisis |
|
|
