Nr328 Endocrine Exam 3 Questions and
Answers.
Medical management of Growth Hormone Deficiency. - Correct Answer Biosynthetic
growth hormone (injections)
Growth Hormone deficiency - Correct Answer Not enough growth hormone, look at the
families stature, diagnosed based on height below the 5th percentile
What will a x-ray show for GHD - Correct Answer Bone ossification
Other Hormone replacments for GHD - Correct Answer Thyroid extract
Cortisone
Testosterone or estrogens and progesterone
Prognosis for GH Deficiency - Correct Answer GH replacement successful in 80% of
affected children
Response varies based on age, length of treatment, frequency of doses, dosage, weight,
and GH receptor amount
How to give biosynthetic growth hormone ? - Correct Answer SubQ or IM injection every
6-7 days till child reaches appropriate height, very expensive insurance may not cover it
With GHD child may experience - Correct Answer Bullying
Till what age do we give growth hormone - Correct Answer Boys about 16
Girls about 14
Childrens height is usually? - Correct Answer Mom's height and Dad's height divided by 2
Symptoms of DKA. - Correct Answer Serum glucose over 250
Ketonuria
Arterial pH of < 7.30 and HCO3 < 15mEq
Nausea, vomiting, dehydration, abdominal pain, Kussmauls RR, acetone odor to breath
, Management of hypoglycemia. - Correct Answer If conscious give glucose immediately in
form of a low fat carbohydrate containing snack or drink, glucose tablets or glucose paste
Should check blood sugar and repeat glucose snack if less than 70
If unconscious, give glucagon at home or in hospital IV dextrose.
Treatment for hypoglycemia - Correct Answer One tube of glucose gel, 120-180 mL of
juice or cola, 10-16 jelly beans, 10 gum drops, 3 pieces of hard candy, 5-7 pieces of life
saver type candy
Understanding of insulin-dependent diabetes mellitus. - Correct Answer Metobolic
disorder in which the insulin producing cells of the pancreas are nonfunctioning as a result
of some insult
Possible complications of type 1 diabetes Microvascular - Correct Answer Microvascular
complications, especially nephropathy and retinopathy
Possible complications of type 1 diabetes macrovascular - Correct Answer Macrovascular
disease, neuropathy
Managment of Congenital Hypothyroidism - Correct Answer Perform newborn screening
programs before discharge
Assess newborns for signs of congenital hypothyroidism
Teach family about replacement therapy with thyroid hormone
Replacement therapy with thyroid hormone - Correct Answer Child will be on it life long
Give a single dose in the morning
Check the pulse daily before giving med
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