1. Nursing Management: Endocrine Problems
Chapter 50 Overview
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2. Disorders of Anterior Pituitary Gland
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3. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Acromegaly
Etiology and Pathophysiology
Clinical Manifestations
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4. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Acromegaly
Fig Progressive development of facial changes associated with acromegaly.
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Acromegaly
Diagnostic Studies
Collaborative Care
Surgical therapy
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6. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Acromegaly
Fig Surgery on the pituitary gland is most commonly performed with the transsphenoidal approach. An
incision is made in the inner aspect of the upper lip and gingiva. The sella turcica is entered through the floor
of the nose and sphenoid sinuses.
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7. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Acromegaly
Collaborative Care, continued
Radiation therapy
Drug therapy
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8. Nursing Management: Acromegaly
Nursing Assessment
Nursing Implementation
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9. Excesses of Other Tropic Hormones
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10. Hypofunction of Pituitary Gland
Etiology and Pathophysiology
Clinical Manifestations and Diagnostic Studies
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11. Nursing and Collaborative Management: Hypofunction of Pituitary Gland
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12. Disorders of Posterior Pituitary Gland
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13. Syndrome of Inappropriate Antidiuretic Hormone
Etiology and Pathophysiology
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14. Syndrome of Inappropriate Antidiuretic Hormone
Fig Pathophysiology of syndrome of inappropriate antidiuretic hormone (SIADH).
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15. Syndrome of Inappropriate Antidiuretic Hormone
Clinical Manifestations and Diagnostic Studies
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16. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Nursing and Collaborative Management: Syndrome of Inappropriate Antidiuretic Hormone
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17. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Diabetes Insipidus
Etiology and Pathophysiology
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18. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Diabetes Insipidus
Fig Pathophysiology of diabetes insipidus (DI).
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19. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Diabetes Insipidus
Clinical Manifestations
Diagnostic Studies
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20. Nursing and Collaborative Management: Diabetes Insipidus
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21. Disorders of Thyroid Gland
Fig Continuum of thyroid dysfunction.
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22. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Goiter
Fig Exophthalmos and goiter of Graves’ disease.
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23. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Goiter
Table Drugs that are Goitrogens.
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24. Thyroid Nodules and Cancer
Types of Thyroid Cancer
Clinical Manifestations and Diagnostic Studies
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25. Thyroid Nodules and Cancer
Fig A large “cold” nodule on the thyroid gland (arrow) detected by a scan.
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26. Nursing and Collaborative Management: Thyroid Cancer
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27. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Thyroiditis
Fig Hashimoto’s thyroiditis.
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28. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hyperthyroidism
Etiology and Pathophysiology
Graves’ disease
Toxic nodular goiters
Clinical Manifestations
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29. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hyperthyroidism
Fig Thyroid acropachy. Digital clubbing and swelling of fingers.
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30. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hyperthyroidism
Complications
Diagnostic Studies
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31. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hyperthyroidism
Collaborative Care
Drug therapy
Antithyroid drugs
Iodine
Β‑adrenergic blockers
Radioactive iodine therapy
Surgical therapy
Nutritional therapy
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32. Nursing Management: Hyperthyroidism
Nursing Assessment
Nursing Diagnoses
Planning
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33. Nursing Management: Hyperthyroidism
Nursing Implementation
Acute intervention
Acute thyrotoxicosis
Thyroid surgery
Ambulatory and home care
Postoperative care
Evaluation
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34. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hypothyroidism
Etiology and Pathophysiology
Clinical Manifestations
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35. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hypothyroidism
Fig Common features of myxedema. Dull, puffy skin; coarse, sparse hair;
periorbital edema; andprominent tongue.
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36. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hypothyroidism
Complications
Diagnostic Studies
Collaborative Care
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37. Nursing Management: Hypothyroidism
Nursing Assessment
Nursing Diagnoses
Planning
Nursing Implementation
Health promotion
Acute intervention
Ambulatory and home care
Evaluation
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38. Disorders of Parathyroid Glands
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39. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hyperparathyroidism
Etiology and Pathophysiology
Clinical Manifestations and Complications
Diagnostic Studies
Collaborative Care
Surgical therapy
Nonsurgical therapy
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40. Nursing Management: Hyperparathyroidism
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41. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hypoparathyroidism
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42. Nursing and Collaborative Management: Hypoparathyroidism
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43. Disorders of Adrenal Cortex
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44. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cushing Syndrome
Etiology and Pathophysiology
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45. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cushing Syndrome
Table Causes of Cushing Syndrome.
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46. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cushing Syndrome
Clinical Manifestations
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47. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cushing Syndrome
Fig Cushing syndrome. Facies include a rounded face (“moon face”) with thin,
reddened skin.Hirsutism may also be present.
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48. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cushing Syndrome
Fig Common characteristics of Cushing syndrome.
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49. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cushing Syndrome
Fig Cushing syndrome. Truncal obesity; broad, purple striae; and easy bruising
(left antecubital fossa).
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50. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cushing Syndrome
Diagnostic Studies
Collaborative Care
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51. Nursing Management: Cushing Syndrome
Nursing Assessment
Nursing Diagnoses
Planning
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52. Nursing Management: Cushing Syndrome
Nursing Implementation
Health promotion
Acute intervention
Preoperative care
Postoperative care
Ambulatory and home care
Evaluation
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53. Adrenocortical Insufficiency
Etiology and Pathophysiology
Clinical Manifestations
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54. Adrenocortical Insufficiency
Fig Hyperpigmentation typically seen in Addison’s disease.
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55. Adrenocortical Insufficiency
Complications
Diagnostic Studies
Collaborative Care
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56. Nursing Management: Addison’s Disease
Nursing Implementation
Acute intervention
Ambulatory and home care
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57. Nursing and Collaborative Management: Corticosteroid Therapy
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58. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Hyperaldosteronism
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59. Nursing and Collaborative Management: Primary Hyperaldosteronism
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60. Disorders of Adrenal Medulla
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61. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Pheochromocytoma
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62. Nursing and Collaborative Management: Pheochromocytoma
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