Chapter 50 nursing management endocrine problems

However, both intrinsic and acquired mechanisms of resistance to aminoglycosides have occurred. Aminoglycoside resistance among gram-negative organisms can occur through acquisition or upregulation of genes that encode inactivating enzymes or efflux systems. The resistance of gram-negative organisms to aminoglycosides occurs by two major mechanisms:

Chapter 50 nursing management endocrine problems

Nursing Care Plan for Thyroid Cancer by lifenurses on 3: The average age at time of diagnosis is There appears to be an association between external radiation to the head and neck in infancy and childhood, and subsequent development of thyroid carcinoma. Between andradiation therapy was commonly given to shrink enlarged tonsil and adenoid tissue, to treat acne, or to reduce an enlarged thymus.

People who have goiters have an increased risk for developing thyroid cancer. The incidence among such patients is 10—15 percent. A lack of iodine in the diet may lead to thyroid cancer.

Because iodine is added to salt in the United States, thyroid cancer is rarely caused by iodine deficiencies in this country. Thyroid cancer may also have a genetic basis. Some researchers have found that an alteration in the RET gene may be transmitted from a parent to a child, causing medullary thyroid cancer.

If several people in a family are diagnosed with thyroid cancer, other members may wish to be tested for a mutation of the RET gene. This syndrome, when present, is also called familial medullary thyroid cancer or Multiple Endocrine Neoplasia, type 2 MEN 2.

Individuals who have MEN 2 syndrome are also at risk for developing other types of cancer.

Key Messages for Women with Diabetes Who are Pregnant or Planning a Pregnancy Eliminate all starches from the diet e. The nurse is reinforcing teaching on diet therapy provided to a patient with type 2 diabetes mellitus.
My Site - Chapter Diabetes and Pregnancy Pain radiating to the genitalia Chapter
Nursing Management: Endocrine Problems | Nurse Key The head louse Pediculus humanus capitas DeGeerthe body louse Pediculus humanus humanus Linnaeus and the crab louse Pthirus pubis Linnaeus all occur on humans.
FMS - Cheat Sheet Collections The report was prepared under the auspices of the National Advisory Environmental Health Committee to provide direction to Federal programmes in occupational health.

Types characteristics of thyroid cancers Papillary adenocarcinoma Most common and least aggressive, Asymptomatic nodule in a normal gland, Starts in childhood or early adult life, remains localized, Metastasizes along the lymphatics if untreated, More aggressive in the elderly, Growth is slow, and spread is confined to lymph nodes that surround thyroid area, Cure rate is excellent after removal of involved areas.

Follicular carcinoma is less common but more likely to recur and metastasize to the regional nodes and through blood vessels into the bones, liver, and lungs. Clinical Manifestations for Thyroid Cancers On palpation of the thyroid, there may be a firm, irregular, fixed, painless mass or nodule.

The occurrence of signs and symptoms of hyperthyroidism is rare. Symptoms of Thyroid Cancer As with many other forms of cancer, most people in the early stages of thyroid cancer have no symptoms or signs of disease.

When symptoms or signs occur, they may include the following: In addition, medullary carcinoma of the thyroid is often inherited.

Family members can be screened by measuring their calcitonin levels or by looking for abnormal chromosomes, such as RET. Anaplastic carcinoma typically presents in older men as a very hard mass in the neck.

It is often incurable at the time of diagnosis, as it does not concentrate iodine, and thus radioactive iodine RAI therapy cannot be used. It is poorly responsive, if at all, to chemotherapy and external radiation therapy. The first indication of disease may be a painless nodule discovered incidentally or detected during physical examination.

If the tumor grows large enough to destroy the thyroid gland. If the tumor triggers excess thyroid hormone production, the patient may report sensitivity to heat, restlessness, and overactivity hyperthyroidism. The patient may also complain of diarrhea, dysphagia, anorexia, irritability, and ear pain.

When speaking with the patient, you may hear hoarseness and vocal stridor. On inspection, you may detect a disfiguring thyroid mass, especially if the patient is in the later stages of anaplastic thyroid cancer. See Anaplastic thyroid cancer.Chapter Nursing Care of Patients With Disorders of the Endocrine Pancreas.

Multiple Choice Identify the choice that best completes the statement or answers the question. Breastfeeding, also known as nursing, is the feeding of babies and young children with milk from a woman's breast. Health professionals recommend that breastfeeding begin within the first hour of a baby's life and continue as often and as much as the baby wants.

The head louse (Pediculus humanus capitas) (DeGeer), the body louse (Pediculus humanus humanus) (Linnaeus) and the crab louse (Pthirus pubis) (Linnaeus) all occur on three cause considerable skin irritation as they feed on human blood or crawl on the body.

Typhus, impetigo, trench fever and relapsing fever have all been transmitted by body and head lice. The pancreas / ˈ p æ ŋ k r i ə s / is an organ of the digestive system and endocrine system of humans, it is located in the abdominal cavity behind the stomach..

The pancreas is a mixed gland, having both an endocrine and an exocrine function. As an endocrine gland, it secretes into the blood several important hormones, including insulin, glucagon, somatostatin, and. Chapter Nursing Management: Endocrine Problems Test Bank MULTIPLE CHOICE 1. A year-old male patient with suspected acromegaly is seen at the clinic.

To assist in making the diagnosis, which question should the nurse ask? a. Have you had a recent head injury? b. Do you have to wear larger shoes now? c. Is there a family .

Chapter 50 nursing management endocrine problems

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Chapter 34 - Psychosocial and Organizational Factors