- FSH and LH testosterone in men estrogen and progesterone in women

NUR 254 Endocrine Disorders

• What is secreted by the posterior pituitary gland?

Answer

• ADH

• Oxytocin (uterus/breasts)

• What is secreted by the anterior pituitary gland?

Answer

• FSH and LH (testosterone in men/ estrogen and progesterone in women)

• Prolactin (breast lactation)
• TSH (thyroid)
• ACTH (adrenal gland)
• GH (growth hormone)

• What causes diabetes insipidus?

Answer Deficiency of ADH from the posterior pituitary gland

• How much urine does a DI pt put out per day?

Answer 3-20 quarts (severely diluted, odorless)

• (T/F) DI has nothing to do with sugar/insulin.

Answer True

• How much urine output do the kidneys normally put out per day?

Answer 1-2 quarts 1 / 2

• What are the causes of DI?

Answer

• Often occurs secondary to CVA

• Head injury
• Aneurysm
• Irradiation of pituitary gland
• Infections of the CNS (meningitis, encephalitis, tuberculosis)
• Tumors

• What are the clinical manifestations of DI?

Answer

• Enormous urine output

• Urine specific gravity < 1.005
• Intense polydipsia (may drink 2-20 L a day)
• Output not controlled by limiting fluid intake (results in hypernatremia w/ dehydration)
• Nocturia
• Dry skin (tenting skin)
• Dizziness
• Confusion
• Nausea

• What can severe dehydration lead to?

Answer

• Seizures

• Permanent brain damage
• Death

• (T/F) DI pt's blood gets thinner.

Answer False (It gets thicker causing elevated Hct)

• What diagnostic tests are done for DI?
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