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

http://www.medcomrn.com/dev/flash/flvplayer/movie.php?movie=http://ss1.medcomrn.com/flv/78723r_sec02_300k.flv&title=&detectflash=false&detectflash=false

Pituitary

Sit on kidneysSecrete EpinephrineFlight or Fight

Adrenals

http://www.medcomrn.com/dev/flash/flvplayer/movie.php?movie=http://ss1.medcomrn.com/flv/78723r_sec03_300k.flv&title=&detectflash=false&detectflash=false

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

http://www.medcomrn.com/dev/flash/flvplayer/movie.php?movie=http://ss1.medcomrn.com/flv/m231_sec01_300k.flv&title=&detectflash=false&detectflash=false

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

https://www.youtube.com/watch?v=oiqDx1g33CU

https://www.youtube.com/watch?v=8XAYkFBJFrU

https://www.youtube.com/watch?v=zO8qOwizUNI

 

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.