ENDOCRINE OR METABOLIC DISORDER

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Author:
yarbar0752
ID:
293086
Filename:
ENDOCRINE OR METABOLIC DISORDER
Updated:
2015-01-15 12:30:30
Tags:
48
Folders:
PARENT CHILD NURSING
Description:
CHAPTER 48
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  1. ENDOCRINE SYSTEM
    • small group of ductless glands that work with the neuro system to regulate and coordinate all body systems
    • dysfunction of the glands or action of the hormones results in a variety of disorders, most of which have long term complications
  2. Assessment of the endocrine system. . .
    • Begin with mom/dad's hx to screen for and rule out diseases.
    • Take ht/wt of child (specific disorders)
    • Any s/sx (frequent urination, activity tolerance, eating habits)
  3. PITUITARY GLAND
    • Is directed by the hypothalamus
    • Stores and releases eight hormones. 4 of these - ADH, TSH, ACTH, and GH - are prominently involved in childhood illnesses
    • Regulates auto nervous system
  4. GROWTH HORMONE DEFICIENCY
    • Grow proportionally but well blew average size
    • hypopituitarism, not seeing enough GH
    • Face looks infantile w/ small jaw & crowded teeth, high pitched voice
    • DX: decreased level of GH
    • May reach about only 3-4 ft
  5. Management for GHD. . .
    • IM recombinant growth hormone (rhGH) 2-3 times/week (helps get child to target height)
    • Timing affects dose- usually given at bedtime - the time of day at which GH normally peaks
  6. GROWTH HORMONE EXCESS
    • Usually caused by anterior pituitary tumor
    • weight excessive/proportional to hgt
    • Acromegaly (enlargement of bones in head, hands, and feet)
    • Tongue protrudes from mouth
    • If untreated ->8ft
  7. Management of GHE. . .
    • Laser surgery to remove tumor
    • cryosurgery - freezing of tissue
    • If no tumor, radioactive implants in the pituitary
    • GH antagonists - to lower GH
  8. DIABETES INSIPIDUS
    • Decreased release of ADH by pituitary gland
    • Urine becomes dilute; loss of body fluid
    • result of lesion, tumor, or injury to posterior pituitary
    • SX: polydipsia, polyuria, weight loss
    • TX: vasopressin, administration to R/O kidney disease. (If U/O decreases after administration it is pituitary. Stays the same is kidney

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