handout 4.3 (ch. 30) endocrine.pptx

handout 4.3 (ch. 30) endocrine.pptx - NURS 307 Week 4...

This preview shows page 1 - 9 out of 56 pages.

NURS 307 Week 4 Alterations in Endocrine Function Textbook chapters 30
Image of page 1

Subscribe to view the full document.

Endocrine System and Hormones Endocrine system: controls cellular activity through release of hormones Hormones have specific controlling effects on the cells in the body Glands of the endocrine system include (review tables 30-1): Anterior pituitary Hypothalamus Posterior pituitary Thyroid Parathyroid Adrenal Pancreas Ovaries and testes
Image of page 2
Endocrine System and Hormones Pediatric differences Feedback mechanism in hormonal stimulation of the gonads during puberty Actions of the major hormones in the anterior pituitary
Image of page 3

Subscribe to view the full document.

Assessment of a Child with an Endocrine Condition Assessment Focus Assessment Guidelines Growth Carefully measure weight, length, or height and plot on a growth curve. Compare measurements at different ages to assess the growth pattern over time and to assess the growth velocity. Blood pressure Assess blood pressure and compare to expected norms for age Facial characteristics Inspect the face for unusual features such as a protuberant tongue, protuberant eyes, or moon face. Neck Palpate the neck for an enlarged thyroid or goiter. Muscles Assess strength and muscle tone. Genitalia and secondary sexual characteristics Assess the sexual maturity rating with information given in Chapter 5. Compare the stage of development to the age of the boy or girl to determine early or delayed onset of puberty. Body odor Assess body odor for unusual smell (e.g., sweet, musty, cheesy, sweaty feet). Skin Assess skin color, noting areas of unusual pigmentation. Family history Assess for family history of metabolic or endocrine disorders.
Image of page 4
Disorders of Pituitary Function Normal physiology Anterior pituitary secretes growth hormone , TSH , ACTH , FSH , LH , Prolactin, MSH, β-endorphins Posterior pituitary secretes ADH and oxytocin Different disorders Growth-hormone related Hypopituitarism Hyperpituitarism ADH-related Diabetes insipidus SIADH Precocious puberty
Image of page 5

Subscribe to view the full document.

Hypopituitarism AKA growth hormone deficiency 1 in 4,000-10,000 Most often idiopathic, but can be caused by infarction of pituitary gland in sickle cell disease, CNS disease, tumor, irradiation, brain trauma, chemotherapy, psychosocial deprivation Interference with production or release of growth hormone
Image of page 6
Hypopituitarism, Signs Birth weight and length normal, then drop below 3 rd percentile by 1 year Infants may exhibit Hypoglycemic seizures Hyponatremia Jaundice Pale optic discs Micropenis, undescended testicles Children may exhibit unusually youthful features High-pitched voices Delayed dentition, sexual maturation, skeletal maturation Decreased muscle mass
Image of page 7

Subscribe to view the full document.

Hypopituitarism, Signs Decreased IGF-1 Child should fast the night before this test Growth hormone stimulation 1.
Image of page 8
Image of page 9
  • Summer '18
  • Cortisol, Blood sugar, growth hormone deficiency

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern