Endocrine Ppt

Question 1

Hypopituitarism manifestations

Answer 1

Slowed growth curve after first year
Short stature but proportional height and weight
Delayed epiphyseal closure

Question 2

Hypopituitarism therapeutic management

Answer 2

Replacement with GH (somatropin)
Given SQ

Question 3

Precocious Puberty

Answer 3

Sexual development before age 9 in males and age 8 in girls

Question 4

Precocious Puberty therapeutic management

Answer 4

Treat with Lupron (leuprolide)
Dress and activities need to be appropriate for chronological age

Question 5

Diabetes insipidus manifestations cardinal signs

Answer 5

Polyuria
Polydipsia

Question 6

Diabetes insipidus manifestations: infant

Answer 6

Irritability relieved with feedings of water but not milk,
Dehydration often occurs

Question 7

Diabetes insipidus manifestations: older child

Answer 7

Enuresis

Question 8

Diabetes insipidus management

Answer 8

Vasopressin
Nasal spray or IV administration is most common

Question 9

SIADH manifestations

Answer 9

Anorexia
Nausea, vomiting
Irritability
Personality changes tend to appear before confusion, coma, and seizure
Fluid retention

Question 10

Hypothyroidism manifestations

Answer 10

Sleeping excessively
Large, protruding tongue
Respiratory difficulty
Poor sucking
Cool, dry skin. Jaundice
Subnormal respiratory rate, temp, and pulse
Short thick neck
Abdominal distention, constipation

Question 11

Hypothyroidism nursing considerations

Answer 11

Compliance with medication regimen, crucial bc it is lifelong
- stress the importance to the caregiver