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Samuel Merritt University N136 - Managing Care of Adults 2 MCA II - Exam 3 Content Guide: HTN/Vascular Disorders Questions With Complete Solutions $14.99   Add to cart

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Samuel Merritt University N136 - Managing Care of Adults 2 MCA II - Exam 3 Content Guide: HTN/Vascular Disorders Questions With Complete Solutions

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Samuel Merritt University N136 - Managing Care of Adults 2 MCA II - Exam 3 Content Guide: HTN/Vascular Disorders Questions With Complete Solutions

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  • August 15, 2024
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Samuel Merritt University MCA II - Exam 1 Content Guide:
Endocrine & Hepatobiliary Questions With Complete
Solutions

Anterior pituitary gland hormones Correct Answers ACTH,
...... ......




TSH, FSH, LH, GH, prolactin

ADH (aka arginine vasopressin): Function Correct Answers ......




Reabsorbs H2O, saves Na+.
......




↑ Plasma osmolality → ↑ ADH from post pit → Reabsorption of
H2O in kidney tubules = ↑ Plasma volume, ↓ Plasma osmolality

(Note: ↑ Plasma osmolality is sign of dehydration, ie not enough
water in serum, too much concentrate)

Aldosterone: Function Correct Answers Reabsorbs Na+, secretes
...... ......




K+ and H+ in renal tubules

A mineralocorticoid from adrenal cortex that maintains ECF.

Hormones made in hypothalamus Correct Answers ADH &
...... ......




oxytocin

Hormones stored in the posterior pituitary gland Correct ......




Answers ADH & oxytocin
.... ..




Endocrine disorders: Primary Correct Answers When the gland
...... ......




itself is the problem

,Endocrine disorders: Secondary Correct Answers When the ...... ... ...




pituitary or the hypothalamus is causing the problem

Hypopituitarism Correct Answers Hyposecretion of the anterior
...... ... ...




pituitary gland

Hypopituitarism: Causes Correct Answers #1: Tumor.
...... .... ..




Also: congenital, postpartum necrosis, infection and trauma

Hypopituitarism: S/S Correct Answers 1. Dwarfism (d/t
...... ......




decreased GH)
2. ↓ intellectual development
3. ↓ development of secondary sexual characteristics

Hypopituitarism: Management Correct Answers Surgery or ...... ......




radiation therapy (to remove tumor)

1. Emotional support
2. Encourage client/family to express feelings
3. Hormonal replacement therapy (lifelong)

Hyperpituitarism Correct Answers Hypersecretion of the anterior
...... ......




pituitary gland

Hyperpituitarism: Causes Correct Answers #1: Tumor ...... ......




Also: congenital

, Difference between gigantism & acromegaly Correct Answers ......




Gigantism = occurs in childhood when epiphyseal plates are not
......




fused.

Acromegaly = occurs in adult life after epiphyseal plates are
fused.

Hyperpituitarism: Clinical Manifestations Correct Answers 1. ↑
...... ......




growth (gigantism or acromegaly d/t ↑ GH), large hands and feet
2. Arthralgia (2° thickening of bones, soft tissues)
3. Visual disturbances, headache
4. HTN, hyperglycemia (→ DM II)
5. Organomegaly
6. Skin problems (diaphoresis, skin tags)
7. Tongue enlarges (sleep apnea), voice deepens

Hyperpituitarism: Management Correct Answers Surgery &
...... ... ...




irradiation (to remove tumor)

1. Emotional support
2. Frequent skin care (skin tags, sweaty)
3. Prepare patient for surgery (hypophysectomy)
4. Medications:
- Somatostatin (blocks GH; daily subQ @ bedtime)
- Analgesics (for joint pain)
- Anti-hypertensives

Transsphenoidal hypophysectomy Correct Answers Surgical
...... ......




procedure to remove anterior pituitary.

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