NSG 132 Exam 2 Endocrine review Questions And Answers
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Course
NSG 132
Institution
NSG 132
What does Insulin affect?
~ Blood.
What is the action of Insulin?
~ Lowers blood glucose levels, enhances transport of glucose into blody cells,
counters metabolic activity that would increase blood glucose levels.
What do the Gonads Secrete?
~ Estrogen, Progesterone, and Testosterone....
✓~ H & P, evaluation of plasma insulin like growth factor (IGF-1), IGF binding
proteins (IGFBP-3), and GH response to an oral glucose challenge. MRI and CT scan.
How is an Oral Glucose Tolerance Test performed?
✓~ GH secretion is inhibited by glucose. Two baseline GH levels are obtained before
ingestion of 75 - 100 g of oral glucose, and additional GH measurements are made at
30, 60, 90 and 120 minutes following oral glucose load. Normally GH concentrations
fall during an OGTT. In acromegaly, GH levels do not fall below 3 ng/mL2.
What is Nursing Management following a Hypophysectomy with a Acromegaly
patient?
, ✓~ Avoidance of virgorous coughing, sneezing and straining at stool to prevent CSF
leakage from where sella turcica was entered. Head of bed elevated 30 degrees at all
times. Neurological status and monitor. Mild analgesia is used for headache. Teeth
brushing is avoided for ten days.
What is treatment for Acromegaly?
✓~ Goal is to return GH levels to normal through surgery, radioation, and drug
therapy. Prognosis is dependent on age of onset, when treatment was initiated and
tumor size.
What are the surgical options for Acromegaly?
✓~ Hypophysectomy - removal of the entire pituitary gland.
What does a patient need after a Hypophysectomy or pituitary damage?
✓~ ADH, cortisol and thyroid replacement for life.
When is radiation therapy used for Acromegaly?
, ✓~ When surgery has failed to complete remission, and those considered high risk for
surgery. Used in combination of drugs and can also reduce the size of the tumor
before surgery.
When is the drug therapy for Acromegay used?
✓~ Used in patients who have inadequate response to or cannot be treated with
radiation therapy.
What is drug therapy for Acromegaly?
✓~ Octrotide (Sandostatin) - a somatostatin analog that reduces GH levels to within
normal range in many patients. Given subcutaneously three times a week. Long acting
analogs are available, injections given every 2 - 4 weeks.
What is Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?
✓~ Results from abnormal production or sustained secretionof ADH.
What is the most common cause of SIADH?
✓~ Lung cancer.
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