PRNS MED SURG II

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					PRNS 1522 - MED SURG II                  SAINT PAUL COLLEGE
ENDOCRINE SYSTEM DISORDERS            PRACTICAL NURSING PROGRAM
              STUDY GUIDE                    ASSIGNMENTS
1. Review the glands of the            Williams/Hopper:
   endocrine system and their          Chap. 36 pp. 615-619
   function.                           Video: on A&P
2. Explain nursing observations and    pp. 620-622
   the evaluation of the client
   with endocrine disorders.
   a. health history
   b. physical assessment
      1) inspection
      2) palpation
      3) auscultation percussion

3. Identify the role of the LPN in     pp. 622-623
   preparing the client for the
   specific listed diagnostic tests
   related to disorders of the
   endocrine system
   a. Stimulation tests
   b. Suppression tests
   c. Urine tests (24-hr. urine)
   d. Serum tests
   e. Nuclear scanning
   f. Radiographic tests

4. Describe the significance of        p. 622 Table 36-4
   the results of the listed
   diagnostic tests.

5. Identify the LPN's                  p. included on p. 623
   responsibilities/teaching role
   for diagnostic tests.

6. Associate the listed endocrine      Chapter 37 pp. 625-643
   disorders to hyper or hypo
   function of the related gland.
   A. Pituitary Disorders              pp. 626-628
      1) Antidiuretic hormone
         a. Diabetes Insipidus
         b. Syndrome of Inappro-
            priate Antidiuretic
            Hormone Secretion
            (SIADH).
      2) Growth Hormone Imbalance      pp. 628-630
         a. Dwarfism
         b. Acromegaly
PRNS 1522 - MED SURG II - ENDOCRINE SYSTEM DISORDERS
Page 2 (continued)
              STUDY GUIDE                    ASSIGNMENTS
   B. Thyroid                          pp. 631-638
      1) Hypothyroidism
      2) Hyperthyroidism
      3) Goiter
      4) Cancer of the Thyroid Gland
   C. Parathyroid                      pp. 631-639
      1) Hypoparathyroidism
      2) Hyperparathyroidism
    D. Adrenal                         pp. 639-642
      1) Pheochromoloytoma
      2) Adrenocortical/
         Insufficiency
      3) Addison's
      4) Cushings

7. Explain the utilization of the      Nursing Process and
   nursing process to plan care        diet are included in
   for the client with an endocrine    the above pages of
   disorder.                           reading.

8. Correlate the diet modifications
   related to the disease condition
    of the endocrine system when
   necessary.

9. Describe the use of medications     Consult Individual Drug
   in treating endocrine disorders.    Guide Reference
   a. Vasopressin                      Book
   b. Diabinese
   c. Lasix
   d. Synthroid
   e. Inderal
   f. Calcium Supplement
   g. Glucocorticoids
   h. Mineralocorticoids
   i. Prednisone
   j. ACTH
   k. Florinef

10. Identify the side effects of the
    above listed medications used in
    treating endocrine disorders.

11. Explain the etiology and           Chapter 38 pp. 645-647
    pathophysiology of diabetes
    mellitus.
PRNS 1522 - MED SURG II - ENDOCRINE SYSTEM DISORDERS
Page 3 (continued)
              STUDY GUIDE                     ASSIGNMENTS
12. Differentiate between Type I        pp. 647-649
    and Type II diabetes.

13. Identify the treatment goals        pp. 649-652
    for diabetes mellitus.

14. Identify the role of the LPN in     pp. 648-649
    preparing the client for specific
    listed diagnostic tests related
    to diabetes management.
    a. Glucose Tolerance Test (GTT).
    b. Glycohemoglobin Test (HbAlc).

15. Describe the significance of the    Results of dx tests and
    results of the listed diagnostic    the nurses’ role are
    tests.                              included in the above
                                        pages.
16. Identify the LPN's
    responsibilities/teaching role
    regarding the diagnostic tests
    and their results.

17. Explain the significance of the     pp. 649-652
    diet as related to diabetes.

18. Differentiate the interaction of    pp. 652-654
    diet, insulin and exercise in
    controlling diabetes.

19. Describe the three classifica-      p. 653 Table 38-3
    tions of insulin according to
    its time frame of action.
    a. fast acting
    b. intermediate acting
    c. slow acting

20. Explain side effects of the short   Consult Individual
    and intermediate acting insulins.   Drug Guide Reference
                                        Book
21. List the peak and duration of       p. 653
    action of the short and inter-
    mediate acting insulins.
PRNS 1522 - MED SURG II - ENDOCRINE SYSTEM DISORDERS
Page 4 (continued)
              STUDY GUIDE                        ASSIGNMENTS
22. List principles of insulin          pp. 652-654 box 38-5
    administration for the client
    with diabetes.
    a. self injection
    b. teaching needs
    c. injection sites
    d. problem solving

23. Review preparation of mixed         Classroom activity with
    insulins.                           Scenarios

24. Discuss and determine the           p.654
    requirements for the insulin-       Student Activity to be
    dependent client who is on a        done in class
    sliding scale.                      utilizing scenarios

25. Define oral hypoglycemic agents.    p. 654
    (OHA's)

26. Describe the action and side        pp. 655 Table 38-4
    effects of the listed oral
    hypoglycemics.                      Consult Individual Drug
    a. Orinase                          Guide Reference
    b. Diabinese                        Book.
    c. Glucotrol
    d. Diabeta
    e. Glucophage
    f. Rezulin

27. Define blood and urine glucose      p. 656
    monitoring.

28. Describe the acute complications    pp. 656-659
    of diabetes.
    a. Hyperglycemia
    b. Hypoglycemia
    c. Diabetic Ketoacidosis (DKA)
    d. Hyperosmolar, Hyperglycemic,
       Nonketotic Syndrome (HHNK)

29. Discuss and compare the             p. 658 Table 38-5
    differences between hyperglycemic
    and hypoglycemic reactions and
    there treatments.
PRNS 1522 - MED SURG II - ENDOCRINE SYSTEM DISORDERS
Page 5 (continued)
               STUDY GUIDE                       ASSIGNMENTS
30. Describe the effects of the body    pp. 659-663
    for long-term complications of
    diabetes.
    a. Circulatory System
    b. Triopathy
       1) retinopathy
       2) nephropathy
       3) neuropathy
    c. Gastroparesis
    d. Infection
                                        p. 664
31. Discuss diagnosis and treatment
    of reactive hypoglycemia.

32. Describe new techniques in          From current articles
    treating diabetes.




STUDY GUIDE\ENDOCRINE LMC    8/00

				
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