NURS 371 Lecture Notes - Lecture 32: Atenolol, Stridor, Weight Gain
Document Summary
2 parts: anterior: purple, posterior: secretes adh, oxytocin. Excess production and secretion of growth hormone usually d/t benign pituitary tumor. Growth hormone is insulin antagonist so blocks effects of insulin, increasing bs. Usually at least 8 ft tall: acromegaly: growth hormone excess during adulthood. Enlarged extremities bc thickening of bones and soft tissues. Usually dx several years into the process bc changes in features. Liver and heart are enlarged- increased risk of death at a younger age. Growth hormone- don"t need to know norms. Insulin-like growth factor (igf-1)- more constant and better indicator that gh. Produced by liver when gh levels are high. Ogtt (oral glucose tolerance test)- to check for hyperglycemia. Mri or ct- looking for tumor on pituitary. Goal- bone growth stops and tissue enlargement is reversed. Visual changes get better, but visceral problems remain- heart, liver, dm. Surgical procedure to remove all or part of pituitary gland. Incision made in inner aspect of upper lip and gingiva.
