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Review the most important endocrine diseases. (86 cards)
1
Q
Cause/Patho/Describe:
Syndrome of inappropriate anti-diuretic hormone (SIADH)
ANSWERS:
SIADH is increased secretion of antidiuretic hormone (ADH) in the posterior
pituitary. It causes the client to hold onto urine (mostly water) and go into fluid
volume overload.
It is caused by a type of head injury, stroke, brain tumor, or surgery of the brain.
2
Q
Signs and symptoms:
SIADH
ANSWERS:
These are caused by the client holding onto urine (mostly water) and going into
fluid volume overload:
weight gain
hypertension
hyponatremia (diluted from too much water)
high urine specific gravity >1.030 - dark yellow urine
3
,Q
Cause/Patho/Describe:
Diabetes Insipidus
ANSWERS:
Decreased secretion of antidiuretic hormone (ADH) in the posterior pituitary. It
causes the client to urinate a lot and go into fluid volume deficit.
It is caused by a head injury, stroke, brain tumor, or surgery of the brain.
4
Q
,Signs and symptoms:
Diabetes insipidus
ANSWERS:
These are caused by the client urinating too much and going into fluid volume
deficit:
polyuria and polydipsia
dehydration
low urine specific gravity (<1.005) - urine is pale
postural hypotension
5
Q
What are the general interventions for diabetes insipidus and SIADH?
ANSWERS:
Focus on assessing and maintaining fluid balance:
monitor vital signs and electrolyte levels
monitor intake and output and get daily weights
fall and seizure precautions
monitor level of consciousness
6
Q
What are the specific interventions for diabetes insipidus?
ANSWERS:
Focus on increasing fluids:
give IV fluids
avoid foods that cause diuresis (coffee and tea)
, give vasopressin or desmopressin (hormone replacement for ADH)
7
Q
What are the specific interventions for SIADH?
ANSWERS:
Decrease fluids and increase sodium level:
restrict fluids
give 3% normal saline if sodium is less than 120
loop diuretics if sodium is at least 125 to get rid of the extra fluids
- monitor potassium with loop diuretics
8
Q
What is a hypophysectomy?
ANSWERS:
The removal of the pituitary gland to treat cancerous or benign tumors.
The pituitary gland (also called the hypophysis) is a small, pea-sized gland in the
brain behind the eyes.
9
Q
Cause/Patho/Describe:
Cushing’s syndrome and Cushing’s disease
ANSWERS:
Cushing’s is too many steroids in the body.
Cushing’s syndrome is caused by taking large doses of steroids for a few
weeks or more.