Adult Health 1 Exam 2
Study online at https://quizlet.com/_ht6gn4
1. What are the important ACTH (Anterior)
hormones that the Pitu- GH (Anterior)
itary gland releases? TSH (Anterior)
ADH (Posterior)
2. What Is the Function of Stimulates muscle and bone growth and lengthening in childhood.
Growth Hormone (GH)? Once the epiphyseal plates fuse, then GH continues to support
muscle growth, maintains bone mass, and repair of tissues.
3. S/S of Low growth hor- Decreased bone density
mone: decreased muscle strength
increased serum cholesterol
pathologic fractures
4. what is acromegaly? overproduction of GH in adults
5. S/S of acromegaly? irreversible enlargement of the face, hands, & feet
increased skeletal thickness
hypertrophy of the skin
enlargement of many organs
breakdown of joint cartilage
hypertrophy of ligaments, vocal cords, & eustachian tubes.
6. What is the Function of stimulates the adrenal cortex to release cortisol &plays a role in stress
ACTH? response.
7. S/S of low ACTH -Anorexia
-Decreased serum cortisol levels
-hypoglycemia
-hyponatremia
-malaise & lethargy
-postural hypotension
, Adult Health 1 Exam 2
Study online at https://quizlet.com/_ht6gn4
8. S/S of High ACTH Elevated plasma cortisol level
weight gain
truncal obesity
moon face
extremity muscle wasting
loss of bone density
hypertension
hyperglycemia
straie & acne
9. What is the function of Tells your thyroid when to produce and release those critical thyroid
TSH? hormones- T3 and T4. Helps regulate metabolism, body temp, HR,
and digestion.
10. S/S of Low TSH? Alopecia
Decreased Libido
decreased thyroid hormone levels
hirsutism
intolerance to cold
lethargy
menstrual abnormalities
slowed cognition
11. S/S of High TSH? Elevated plasma TSH and thyroid hormone levels
weight loss
tachycardia & dysrhythmias
heat intolerance
increased GI motility
Fine tremors
12. What is the function of stimulates retention of water by the kidneys
ADH? helps with fluid & electrolyte balance & blood pressure.
, Adult Health 1 Exam 2
Study online at https://quizlet.com/_ht6gn4
13. What is Diabetes In- (Low ADH) A disorder of the posterior Pituitary gland. It results from
sipidus? either a deficiency in vasopressin (ADH), or An inability of the kidneys
to respond to vasopressin
14. Symptoms of DI? Polyuria (>3L/24hrs)
Dehydration
disturbed fluid & electrolyte balance
hypotension
polydipsia
15. What would your Sodium Hypernatremia
and urine specific gravity LOW urine specific gravity (clear urine)
look like in someone with
DI?
16. Management for DI? Intake should be equal to output
drug therapy (desmopressin) -PO, SL, or Intranasally
17. What are questions you Hx of recent surgery
should ask when assess- Hx of head trauma
ing for DI? Hx of drug use
18. What is SIADH? (High ADH) Vasopressin (ADH) is already secreted even when there
is no need. (Too much of the hormone that makes you retain fluid)
19. Symptoms of SIADH: Water retention & Fluid overload
oliguria
dilutional Hyponatremia
(Increased blood volume--> RAAS Inhibition--> Increased Na loss-->
further hyponatremia)
20. what are the common
causes of SIADH?
, Adult Health 1 Exam 2
Study online at https://quizlet.com/_ht6gn4
Cancer therapy
Pulmonary infections or impairment
Selected drugs
21. how would you expect Hyponatremia
labs to look on a pt with HIGH Urine Specific Gravity
SIADH?
22. what are the symptoms of Lethargy
hyponatremia? headaches
disorientation
change in LOC
seizures
Coma
23. what are the nursing in- Fluid restriction
terventions for patients sodium replacement (usually oral to not put more fluid into the
with SIADH? body)
Drug therapy with vasopressin receptor anatgonists- (Vaptans) Coni-
vaptan, Tolvaptan
24. What is the function of Used in SIADH
Vaptans? (Vasopressin re- Promote water excretion w/o Na loss
ceptor antagonists) (monitor for sudden increases in sodium)
25. Na Increases by 12 mEq/L CNS Demyelination
in 24hrs is associated with
what issue?
26. what is glucocorticoid Secreted by the adrenal gland.
(cortisol)? Helps body respond to stress, increases blood glucose, anti-inflam-
matory effects.
Study online at https://quizlet.com/_ht6gn4
1. What are the important ACTH (Anterior)
hormones that the Pitu- GH (Anterior)
itary gland releases? TSH (Anterior)
ADH (Posterior)
2. What Is the Function of Stimulates muscle and bone growth and lengthening in childhood.
Growth Hormone (GH)? Once the epiphyseal plates fuse, then GH continues to support
muscle growth, maintains bone mass, and repair of tissues.
3. S/S of Low growth hor- Decreased bone density
mone: decreased muscle strength
increased serum cholesterol
pathologic fractures
4. what is acromegaly? overproduction of GH in adults
5. S/S of acromegaly? irreversible enlargement of the face, hands, & feet
increased skeletal thickness
hypertrophy of the skin
enlargement of many organs
breakdown of joint cartilage
hypertrophy of ligaments, vocal cords, & eustachian tubes.
6. What is the Function of stimulates the adrenal cortex to release cortisol &plays a role in stress
ACTH? response.
7. S/S of low ACTH -Anorexia
-Decreased serum cortisol levels
-hypoglycemia
-hyponatremia
-malaise & lethargy
-postural hypotension
, Adult Health 1 Exam 2
Study online at https://quizlet.com/_ht6gn4
8. S/S of High ACTH Elevated plasma cortisol level
weight gain
truncal obesity
moon face
extremity muscle wasting
loss of bone density
hypertension
hyperglycemia
straie & acne
9. What is the function of Tells your thyroid when to produce and release those critical thyroid
TSH? hormones- T3 and T4. Helps regulate metabolism, body temp, HR,
and digestion.
10. S/S of Low TSH? Alopecia
Decreased Libido
decreased thyroid hormone levels
hirsutism
intolerance to cold
lethargy
menstrual abnormalities
slowed cognition
11. S/S of High TSH? Elevated plasma TSH and thyroid hormone levels
weight loss
tachycardia & dysrhythmias
heat intolerance
increased GI motility
Fine tremors
12. What is the function of stimulates retention of water by the kidneys
ADH? helps with fluid & electrolyte balance & blood pressure.
, Adult Health 1 Exam 2
Study online at https://quizlet.com/_ht6gn4
13. What is Diabetes In- (Low ADH) A disorder of the posterior Pituitary gland. It results from
sipidus? either a deficiency in vasopressin (ADH), or An inability of the kidneys
to respond to vasopressin
14. Symptoms of DI? Polyuria (>3L/24hrs)
Dehydration
disturbed fluid & electrolyte balance
hypotension
polydipsia
15. What would your Sodium Hypernatremia
and urine specific gravity LOW urine specific gravity (clear urine)
look like in someone with
DI?
16. Management for DI? Intake should be equal to output
drug therapy (desmopressin) -PO, SL, or Intranasally
17. What are questions you Hx of recent surgery
should ask when assess- Hx of head trauma
ing for DI? Hx of drug use
18. What is SIADH? (High ADH) Vasopressin (ADH) is already secreted even when there
is no need. (Too much of the hormone that makes you retain fluid)
19. Symptoms of SIADH: Water retention & Fluid overload
oliguria
dilutional Hyponatremia
(Increased blood volume--> RAAS Inhibition--> Increased Na loss-->
further hyponatremia)
20. what are the common
causes of SIADH?
, Adult Health 1 Exam 2
Study online at https://quizlet.com/_ht6gn4
Cancer therapy
Pulmonary infections or impairment
Selected drugs
21. how would you expect Hyponatremia
labs to look on a pt with HIGH Urine Specific Gravity
SIADH?
22. what are the symptoms of Lethargy
hyponatremia? headaches
disorientation
change in LOC
seizures
Coma
23. what are the nursing in- Fluid restriction
terventions for patients sodium replacement (usually oral to not put more fluid into the
with SIADH? body)
Drug therapy with vasopressin receptor anatgonists- (Vaptans) Coni-
vaptan, Tolvaptan
24. What is the function of Used in SIADH
Vaptans? (Vasopressin re- Promote water excretion w/o Na loss
ceptor antagonists) (monitor for sudden increases in sodium)
25. Na Increases by 12 mEq/L CNS Demyelination
in 24hrs is associated with
what issue?
26. what is glucocorticoid Secreted by the adrenal gland.
(cortisol)? Helps body respond to stress, increases blood glucose, anti-inflam-
matory effects.
