NURS 4430 Lecture 2: Medsurge 52: Covers chapter 52 from the textbook and class
Document Summary
Assessment and management of patients with endocrine disorders- Referred to as the (cid:862)master gla(cid:374)d(cid:863) (cid:271)e(cid:272)ause of the i(cid:374)flue(cid:374)(cid:272)e it has o(cid:374) the se(cid:272)retio(cid:374) of hormones by other endocrine glands. Essential for normal growth: hypersecretion of anterior pituitary gland= cushings syndrome (or called acromegaly or gigantism. , cushings/acromegaly= excess of gh in adults, resulting in enlargement of peripheral body parts without an increase in height. May be 7-8 feet tall: dwarfism= insufficient secretion of gh. Limited growth: panhypopituitarism= hyposecretion of anterior pituitary hormones. Thyroid, adrenal cortex and gonads shrink: posterior pituitary gland, major hormones= adh, vasopressin, an oxytocin, all of these hormones are released by the hypothalamus, vasopressin= controls excretion of water by kidneys, oxytocin=secreted during pregnancy and childbirth. Diabetes insipidus= insufficent secretion or response to adh (vasopressin) Characterized by excessive thirst (polydipsia) and large amounts of dilute urine. Kidneys are unable to concentrate urine resulting in excessive fluid losses. Serum osmolality increases; urine specific gravity decreases.
