NUR 152 4

Too little growth hormone in children results in dwarfism
True
False
Excess growth hormone in children results in gigantism
True
False
Excess growth hormone in adults results in Acromegaly
True
False
Signs of gigantism
bone growth in width not length
Enlargement of facial features
enlargement of feet and hands
Growth Hormone sign and symptoms of excess in adults (Acromegaly
Change in shoe or ring size
Nose, jaw, Brow enlargement
Teeth may be displaced
Difficulty speaking and swallowing due to enlarged tongue
sleep apnea
Headaches
Vision changes
DM from increase glucose
Arthritis
Sexual Dysfunction ED or Amenorrhea
Hypothyroidism signs and symptoms
Fatigue
Bradycardia
Constipation
Mental Dullness
Cold Intolerance
Hypoventilation
SOB
Dry skin and Hair
Weight gain
Heart Failure
Hyperlipidemia
What is a disease of Hypothyroidism
What is Myxedema
non pitting of hands and feet
thyroid storm
Treatment of Hypothyroidism
Levothyroxine/ Synthroid
0.1-0.2mg/day
Start low and increase dose
Educate pt on consistent use of HRT
Nursing interventions for Hypothyroidism
Promote sleep
Protect against coldness
Increase fluid intake
Apply mositure
Eat foods high in fiber
Avoid heat exposure
Watch for orthostatic hypotension
If pt is immobile rotate every 2 hrs
Avoid daily baths
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