endocrine

Question 1

nursing intervention general

Answer 1

participate in disease mx, teach about disease, document growth and development, promote body image, participate in support groups, help siblings.

Question 2

growth hormone deficiency, hypopituitarism

Answer 2

consistent decline of growth measurements, increased weight to height ratio.

Question 3

hypopituitarism sx

Answer 3

increased abd fat, cherub appearance, delayed tooth eruption, delayed closure of anterior fontanel, decreased muscle mass, high pitch voice, appear younger than actual age, delayed puberty.

Question 4

causes of ghd

Answer 4

genetic defects, brain trauma, cystic tumors.

Question 5

dx of ghd

Answer 5

growth chart, parent height estimate, labs, bone xray.

Question 6

tx of ghd

Answer 6

growth hormone replacement, take rx same time each night, be aware of bullying

Question 7

hyperpituitarism

Answer 7

gigantism in children (if its before growth plates fused then they can grow >7-8ft), acromegaly if in adults (large foot and finger growth).

Question 8

tx of hyperpituitarism

Answer 8

remove pituitary adenoma, radiation, dopamine agonists. post op side effects are diabetes insipidus, recurrent pituitary adenoma.

Question 9

precocious puberty

Answer 9

before age 9 in boys and 8 in girls. idiopathic. tx the cause like surgery or growth hormone. tx with gnrh agonist injection or quarterly depot injection

Question 10

delayed puberty

Answer 10

doesn’t occur until age 13, tx with short term hormonal therapy

Question 11

DI

Answer 11

insufficient production of vasopression or decreased sensitivity to ADH. kidneys cant concentrate urine which causes severe dehydration

Question 12

sx DI

Answer 12

abrupt, polyuria, polydipsia, fever, constipation, hypernatremia, waking up at night to drink water.

Question 13

tx DI

Answer 13

IV fluids or PO to tx dehydration, desmopressin