Endocrine System
CNA 2 OSBN Curriculumhttp://www.medcomrn.com/dev/flash/flvplayer/movie.php?movie=http://ss1.medcomrn.com/flv/78723r_sec01_300k.flv&title=&detectflash=false&detectflash=false
This project was funded $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.
This work is licensed under a Creative Commons Attribution 4.0 International License.
System of GlandsFunction:
◦Body Metabolism◦Growth◦Reproduction
4 Major Glands◦Pituitary◦Thyroid◦Pancreas ◦Adrenals
Overview Anatomy & Physiology
Master Gland◦Makes Hormones for other glands
Regulates◦Growth◦Reproduction
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Pituitary
Sit on kidneysSecrete EpinephrineFlight or Fight
Adrenals
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Cortisol Exposure for Too Long#1 Cause: Excessive Steroid Use
◦Chronic Breathing◦Chronic Inflammation
Cushing’s Syndrome
Observation &
Reporting
Diet:◦High: protein & K+◦Low: carbohydrates & Na+
Body Image AdjustmentEmotional Support
CNA2 Actions
Regulates Metabolism◦Parathyroid
Regulates Ca
Hypothyroidism◦Not enough hormone
Hyperthyroidism◦Too much hormone
Thyroid Gland
Overactive ThyroidCauses:
◦Graves’ Disease◦Excessive Intake of Thyroid Hormones◦Thyroiditis◦Excessive Iodine Intake
Significantly Accelerated Metabolism
Hyperthyroidism
Observation & Reporting
HypothyroidismNot enough hormoneLack of IodinePituitary diseaseAdvancing age
Observation & ReportingFacial MyxoedemaWeak/FatigueDepressionWt. GainCold IntolerancesConstipationDry, Thick Skin
Hypothyroidism
Monitor:◦ VS◦ Accurate I&O◦ Weight◦ Activity
Limit Fatigue Cluster activities Plan rest periods
◦Report AbnormalsMedical Id braceletRefer questions/concerns to nurse
CNA2 Actions
Regulates Blood Glucose and Insulin
Pancreas
Three Types◦Type 1
Onset early in life Pancreas not producing enough insulin Insulin injections
◦Type 2 Adults Body doesn’t use insulin well Diet/exercise/PO meds
◦Gestational (GDM) During pregnancy Generally goes away after birth
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Diabetes Mellitus
Observations & Reporting Blood Sugar < 60 Cold, clammy skin Irritability Rapid, shallow breathing Rapid pulse Vision Changes Convulsions Faintness
Hypoglycemia
Observation & Reporting CBG>125 Polydipsia Polyphagia Polyuria Weakness Low BP Kussmaul Breathing
Hyperglycemia
Report ◦Abnormal CBG◦s/s ◦Food intake
Emotional SupportAdequate Intake
CNA2 Actions
Dangerous ComplicationToo Many KetonesBody AcidicCBG > 400Up to 1000Mostly in ICU
Diabetic Ketoacidosis: DKA
Observations & Reporting
Generally in Critical CareAs directed by the nurseHourly CBGReport ALL ReadingsRegulate DietEmotional Support
CNA2 Actions
Excessive Urination◦5-15L/day
May be from ◦Rx’s◦Head Trauma◦Pituitary Disorders
Treated with Meds
Diabetes Insipidus
Urinary FrequencyThirstDehydration
Observations & Reporting
Accurate I&ODaily WeightsMonitor for DehydrationReport changes to nurse
CNA2 Actions
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CBG Testing A1C testing the “cornerstone” of diabetes
management.◦ a blood test that provides information about a person’s
average levels of blood glucose, also called blood sugar, over the past 3 months.
CBG Testing
This project was funded $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.
This work is licensed under a Creative Commons Attribution 4.0 International License.
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