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Endocrine study sheet Study Sheet for Endocrine Know the glossary terms in the book Role of the hypothalamus, endocrine system, and the central nervous system in regulating endocrine function Health history and Clinical Manifestations of Endocrine disorders Physical assessment findings common to the different endocrine disorders Diagnostic evaluation – suppression/stimulation tests Adrenal Gland Function of adrenal medulla and cortex Adrenalectomy – Care of the patient after this procedure, what will the patient have to take medication wise for a life time. Hormones produced by each Glucocorticoids, Mineralcorticoids, Androgens – purpose, role in the body Addisons Disease – Symptoms, causes of Addison’s Crisis, nursing intervention to prevent crisis, and management of this disease Care of the patient in Addisons crisis Cushing’s Syndrome – Symptoms, causes, nursing intervention and management, effects on glucose, effects on patient’s sleep patterns Electrolytes that are retained in Cushings syndrome, those that are excreted. A nurse needs to watch for imbalances in these lytes. Corticosteroids – uses, side effects, treatment of acute conditions, eye treatment (problems with long term use-not covered in class) tapering, best time to administer corticosteroids. Nursing Diagnosis that needs to be dealt with. Prednisone – Solumedrol – uses, drug class, side effects to watch for, patient education Diagnostic Tests – 24 hour urine – collection of the specimen correctly Pheochromycytoma – symptoms, treatment, management after treatment Why is Solu-Cortef given for the patient in Addisonian Crisis. Primary Aldosteronism – not covered in class – also called Conn’s Syndrome. What electrolyte imbalance is assessed for, and treated. Review the treatment definition, clinical manifestations, assessment and diagnostic findings Vitligo – what it is and why it occurs in Addison’s disease Pituitary Gland – Hormones produced by the anterior and posterior pituitary (focus on those covered in lecture) Hypopituitarism- symptoms, common causes, Diabetes Insipidus – symptoms, nursing management, medications and their nursing management, common causes, nursing diagnosis of a patient with this disorder ADH – function, intranasal and IM administration considerations SIADH- symptoms, underlying causes, nursing management and diagnosis of a patient having this disorder Growth Hormone – secreted by which lobe, effects on the body if too much is produced, or not enough Care of the patient with a hypophysectomy 1 Endocrine study sheet Thryoid Assessment – bruit, thrill, Function - Hormones – Diagnostic tests for hyper/hypothyroidism Characteristics of thyroid hormone Goiter – cause, treatment Hypothyroidism – most common cause,clinical manifestations, assessment, nursing interventions Definition and symptoms of Myxedema Gerontologic considerations of the patient with hypothyroidism Study care plan Hyperthyroidism – clinical manifestations, role of beta blockers, anti-thyroid medications in treatment of this disorder, nursing management of side effects, patient education, nutritional nursing interventions Assessment and diagnostic findings Role of methimazole, and hydrocortisone in treatment of hyperthyroidism, and thyrotoxic crisis Recurrent Hyperthyroidism – need for patient compliance, patient education Nursing Management -Nutritional support, coping, self esteem, body temperature, potential complications Synthroid – purpose, patient education regarding side effects to watch for Hyperparathyroidism- actions of parathormone, symptoms, nursing management, management of calcium imbalance Hypoparathyroidism – symptoms, nursing management, management of calcium imbalance Clinical Manifestations, laboratory tests and their results Care of the patient with a thyroidectomy The difference between Type 1 and Type 2 Diabetes Know the difference between Regular and NPH insulin – onset of action, which one can be given IV, which one is given in sliding scale. Which acid base balance will be seen in DKA What is the difference between DKA and HHNK 2
