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I.
Reading assignment:
Brunner & Suddarths Textbook of Medical-surgical Nursing
Chapter 40, pages 1376-1383;
Chapter 40, pages 1345-1347 (The pancreas);
Chapter 42, pages 1441-1445 (not Classification & action of hormones).
Handbook of Pathophysiology by Elizabeth Corwin Ch. 17
II.
III.
B.
Speed
Duration
Structure
C.
D.
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Nervous System
The link between the endocrine system and the nervous system: _____________
Endocrine glands:
1.
Secrete __________________________
2.
E.
3.
4.
5.
*No ___________________
Exocrine glands:
1.
F.
IV.
V.
VI.
Pineal
F.
Adrenal Medulla
B.
Pituitary
G.
Adrenal Cortex
C.
Thyroid
H.
Islets of Langerhans
D.
Parathyroid
(Pancreas)
E.
Thymus
I.
Ovaries &Testes
Secrete __________________________________
B.
What is a hormone?
A.
VII.
Growth
2.
Reproduction
3.
Energy production
4.
5.
Regulation of body pH
6.
Resistance to stress
C.
D.
Homeostasis
1.
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_______________ in Homeostasis
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B.
C.
D.
E.
a)
b)
c)
Sensors
1.
2.
3.
____________________ to change
4.
Hormone secretion
1.
2.
____________________ gland
3.
Secretes ____________________
Bloodstream
1.
2.
Target organ
1.
Action
1.
______________ ________________
2.
change
G.
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a)
b)
c)
Homeostasis
1.
Specific action
2.
___________________ homeostasis
3.
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4.
5.
X.
B.
C.
D.
E.
F.
G.
Pancreas Gland
A.
XI.
Anatomical description:
1.
______________ long
2.
Position: _______________________________
3.
Behind ___________________
4.
5.
B.
C.
Alpha _____________________
2.
Beta ______________________
3.
Delta _________________________
Insulin
A.
B.
Primary function
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1.
D.
2.
3.
sensor identify and then stimulates the beta cell to secrete insulin?) _____________
E.
secretion
F.
2.
3.
4.
5.
In the absence of insulin, glucose is not able to get into the cells and it is
intake
G.
2.
the ___________________
3.
(_________________ tissue)
H.
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I.
_________ acids.
J.
Summary:
1.
2.
3.
Glucagon
A.
of Langerhans.
B.
C.
D.
E.
XIII.
Somatostatin
A.
B.
C.
Action of Somatostatin:
D.
XIV.
G_________________
1.
2.
2.
3.
4.
5.
Nursing responsibility:
a)
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B.
b)
c)
d)
3.
4.
C.
Normal levels:
a)
b)
Diabetic levels:
a)
b)
_____________ in urine
Nursing responsibility:
a)
b)
c)
d)
Water ___________________________
e)
Collect ________________hourly
f)
XV.
* _______ before; ____ after; ____ after; ____ after; ____ after
b)
c)
d)
e)
2.
3.
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B.
C.
D.
Name the three hormones of the pancreas and identify what cells secrete that
hormone*
E.
F.
G.
Hormone secreted
Action
Stimulus (change in
Homeostasis)
Diabetes :______________________
B.
Mellitus: ______________________
C.
2.
XVII. Type 1 Diabetes Mellitus (Juvenile diabetes, Insulin dependent diabetes mellitus IDDM)
A.
B.
Resulting in
C.
D.
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1.
_______insulin production
2.
Insulin ______________________
Etiology:
1.
2.
#2: Idiopathic
3.
____________ susceptibility
2.
3.
E.
S&S of Type 1 DM
1.
b)
2.
3.
b)
4.
5.
6.
Dehydration
7.
8.
a)
Assessment : _______________________________________
b)
Ketonuria
a)
DM1 = No __________
b)
c)
d)
e)
f)
g)
Metabolic Acidosis
a)
b)
c)
Metabolic _________________.
d)
Body pH _________________
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B.
C.
What is hyperglycemia?
D.
E.
F.
G.
H.
1.
Glucose
2.
Glycogen
3.
Glucagon
4.
Glycogenolysis
5.
Glycogenesis
6.
Glycosuria
Etiology
1.
______________ needs
2.
3.
b)
____________ to insulin
B.
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____________ history
2.
_______
3.
____________
4.
5.
______________
6.
7.
Lack of ______________
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8.
C.
2.
3.
Type 2
Etiology
Age of onset
Percent of diabetics
Onset
Body weight at onset
Insulin production
Insulin injections
Ketone
Management
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B.
Screening: _______________________________
C.
2.
E.
No ________________ medication
F.
G.
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B.
3 Ps
1.
C.
P_________________P_________________P_________________
Neuro
Cardiovascular
Respiratory
Gastro-intestinal
Genital-urinary
Skeletal/muscular
Integumentary
XXIV. Small group Questions: Mr. McMillan is a 50-year-old client brought into the emergency
department with extreme fatigue and dehydration. After the physician sees him, the nurse asks
Mr. McMillan some additional questions. Based on the clients answers, the nurse requests that
the physician add a glucose level to the lab work. The result is 1400 mg/dl.
A.
B.
C.
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