NUR 2356/ NUR2356: Multidimensional Care II/MDC II Final Exam Study Guide

What are the glands of the endocrine system? • PT PAP HOT • Pituitary • Thyroid • Pancreas • Adrenals • Parathyroid • Hypothalamus • Ovaries • Testes Grave’s disease/Hyperthyroidism • An autoimmune disorder that’s caused by hyperthyroidism and is characterized by goiter and/or exophthalmos • Treatments for Grave’s disease (hyperthyroidism): o RX: methimazole, atenolol, iodine-131 • Nursing interventions: o Provide a calm environment, keep room cool, assess for pain, prepare patient for sx, maintain airway (same for hypothyroidism), continuous cardiac monitoring, monitor V/S, daily weight, I&O, lab values, DVT prophylaxis, skin care • Hallmark assessment: o *Heat intolerance: they’re HOT and SWEATY • Lab tests: o INCREASED: T3, t4 o DECREASED: TSH Pituitary gland • Considered the “master gland” • Secretes hormones that control other parts of the endocrine system Anterior hypopituitarism • Which two deficiencies are the most life threatening? o ACTH and TSH o They’re the most life threatening because they cause a decrease in the secretion of vital hormones from the adrenal and thyroid glands • Lab and diagnostics: o *ALL decreased: T3, T4, prolactin, testosterone, estradiol o Blood work is always done first o CT/MRI – detect bone or soft tissue lesions o Skull x-ray – detect enlargement, erosions, and calcification of the Sella turcica