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Hormonal & Metabolic Dysfunction - Coggle Diagram
Hormonal & Metabolic Dysfunction
SIADH
decreased urine output
water retention
increased permeability in kidney nephrons
vascular overload, edema
diluted sodium concentration in extracellular spaces
serum sodium >115-120mEq/L
treatment
water restriction
remove cause
hypertonic intravenous
medication
Diabetes Insipidus
nephrogenic DI
Insufficient ADH production
extreme fluid intake
water intoxication
impaired osmoreceptors
chronic renal insufficiency
X linked disorder
polyuria
urine low specific gravity
treatment
IV hydration
DDAVP
replace fluid loss
antidiuretic
Hyperthyroidism
chronic thyrotoxicosis
hyperplasia of thyroid gland
Graves disease
thyroid stimulating antibodies bind to & stimulate TSH receptors
thyrotoxic crisis
death
treatment
RAI therapy
surgical managment
medication
remove thyroid
Hypothyroidism
impaired TSH/TRH secretion
autoimmune: attack self
deficient thyroid hormone
Hashimotos
treatment
meds
diet changes
monitor respiratory, CV, and glucose
Cushings
tumor
adrenal glands
pituitary
ACTH/ CRH production from tumor
tumor other location
long term steroid use
signs
muscle weakness
facial hair
renal calculi
thinning hair
protruding abdomen
treatment
hormone therapy
surgery
remove cause
radiation
corticosteroids
Addison disease
lack of ACTH production
pituitary injury
hormone imbalance
autoimmune
Adrenal gland over worked
treatment
salt intake increase
hydrocortisone tx
IV fluid replacement