Hormonal Regulation

Task
Clustering related information
In your own words describe the concept hormonal regulation:



Task
Clustering related information

Review Box 14-1 in the Giddens text. Review the endocrine system from your anatomy and physiology book and related pathologies. For each gland on the table give an example exemplar for a condition that represents hyposecretion of the hormone from the gland and one that represents hypersecretion.

Endocrine Gland Exemplar Representing Hyposecretion Exemplar Representing Hypersecretion
Hypothalamus
Anterior pituitary
Posterior pituitary
Thyroid
Parathyroid
Adrenal cortex
Adrenal medulla
Gonads
Pancreas

Task
Identifying signs and symptoms
For each of the conditions in the table, give a brief description of the physiologic consequences of each condition.

Endocrine Gland Exemplar Representing Hyposecretion
Physiologic
Consequences Exemplar Representing Hypersecretion
Physiologic
Consequences
Hypothalamus

Anterior pituitary

Posterior pituitary

Thyroid

Parathyroid

Adrenal cortex

Adrenal medulla

Gonads

Pancreas

Task
Identifying signs and symptoms
Consider the two exemplars for this week: hyperthyroidism and hypothyroidism.

Hyperthyroidism
Hypothyroidism

Risk factors

Assessment

History: what would you expect to see?

Diagnostics tests

Clinical management:

Primary prevention

Secondary prevention

Collaborative care:

Medical treatment

Nursing care

Patient teaching

Task
Predicting and managing potential complications
Consider the interrelated concepts for hormonal regulation listed on page 131. Which of these relate to hormonal regulation involving the thyroid gland? Provide an explanation about how that interrelated concept may be present for conditions of the thyroid gland.

Interrelated Concept Would it be present with hormonal regulation related to thyroid exemplars?
Explain

Intracranial regulation

Glucose regulation

Nutrition

Development

Reproduction

Stress

Fluid and electrolytes

Task
Predicting and managing potential complications
In the table below list additional interrelated concepts that may be present with hyper or hypothyroidism. Explain why that concept may be present.
Interrelated concept present with hyper or hypothyroid
Explain

Add more columns as needed.

Task
Identifying signs and symptoms
Consider the exemplars for this week: Cushing’s, SIADH, and Addison’s

Hypercortisolism
(Cushing’s)
Syndrome of Inappropriate Antidiuretic Hormone(SIADH) Adrenal Insufficiency
(Addisons’s Disease)

Risk factors

Assessment

History: what would you expect to see?

Diagnostics tests

Clinical management:

Primary prevention

Secondary prevention

Collaborative care:

Medical treatment

Nursing care

Patient teaching

Task
Predicting and managing potential complications
Consider the interrelated concepts for hormonal regulation listed on page 131. Which of these relate to hormonal regulation involving the adrenal gland? Provide an explanation about how that interrelated concept may be present for conditions of the adrenal gland.

Interrelated Concept Would it be present with hormonal regulation related to thyroid exemplars?
Explain

Intracranial regulation

Glucose regulation

Nutrition

Development

Reproduction

Stress

Fluid and electrolytes

Task
Predicting and managing potential complications
In the table below list additional interrelated concepts that may be present with Cushing’s, SIADH, and Addison’s. Explain why that concept may be present.
Interrelated concept present with Cushing’s, SIADH, and Addison’s
Explain

Add more columns as needed.

Task
Identifying signs and symptoms
Predicting and managing potential complications
Setting priorities
For each condition list 5 priority safety factors related to that condition and interventions to ensure patient safety.

Condition
Safety Issue
Nursing Intervention

Hyperthyroidism

Hypothyroidism

Cushing’s

SIADH

Addison’s

Task
Determining the importance of information
Locate two credible websites and note how you might use the information on the websites when caring for a patient with an alteration in hormonal regulation.

Website
How you will use the information

Task
Develop medication sheets for:
• Liothyronine (Cytomel)
• Levothyroxine(Synthroid)
• Thyroid tablets (Armour thyroid)
• Methimazole (Tapazole)
• Propylthiouracil (Propacil)

Student Medication Sheet

Drug Generic Name: ___________________ Trade Name: ____________

Major Drug Classification:_____________________Route:_________________________

Drug Action:_____________________________________________________________


Uses: ___________________________________________________________________


Side Effects: _____________________________________________________________

Adverse Reactions: ________________________________________________________

Dosage Range: _______________________________________________________________________

Nursing Implications: ________________________________________________________________________



Individual Patient Information Related to this Drug

(1) Date given, (2) why is THIS patient receiving this drug, (3) at least one important aspect related to the individual patient receiving this medication, and/or (4) what of the above information varied depending on the individual patient situation.








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