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NUR 185 Week 3 Pre-Class Assignment
- Course
- Adult Health NUR 185 Hondros
- Institution
- Hondros College School Of Nursing
Detailed Week 3 Pre-Class Assignment on Hormone regulation for Nur 185. *Essential!!
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Hormone regulationDescribe the differences between the two conditions in the graph.
• Type of Causes of the Imbalance Signs and symptoms Treatment for the Imbalance
Imbalance
Pituitary adenoma Hyperglycemia Metyrapone
Hyperfunction of adrenal Hypokalemia Ketoconazole
Cushing’s disease Excess ACTH Hypertension and edema Mitotane
Metastatic cancer Decreased cold intoleranc Hydrocortisone
TB infection Hypotension Hypotension
Addison’s disease Surgical removal/trauma Depression Normal saline
Congenital adrenal hyperplasi Chronic diarrhea Corticoid steroids
What surgical procedure will be implemented if the pituitary gland tumor is the cause of Cushing’s disease?
• Transsphenoidal pituitary surgery
What is a transsphenoidal microsurgery?
• Neurosurgical procedure that has become the standard of care in the management of the majority of pituitary tumors and a
select group of other seller lesions
You have a patient who was diagnosed with Cushing syndrome. He has a pituitary tumor, and the surgeon has indicated
surgery. What patient teaching will you give for the transsphenoidal microsurgery?
,
, • Weight monitor
• Electrolyte imbalance
• Signs and symptoms
• Infection prevention
• Medication
Determining the importance of information
• Cushing’s and Addison’s are addressed in Linton textbook Chapter 48
What lab values and diagnostic test will determine the diagnosis of Cushing’s & Addison’s disease? (Make sure answer each
disease).
Cushing’s:
• Blood
• Saliva
• Urine
• Cortisol levels
Addison’s:
• Low cortisol levels
• High ACTH levels
• Low sodium levels
• High potassium levels
• Elevated BUN and Creatinine
• Hypoglycemia
Using your Matteson textbook, describe what the Addisonian crisis is and why it is important.
Acute adrenal insufficiency. A life-threatening disorder than can be caused by severe stress, surgery, infection, trauma, and can lead to
shock.
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