Question

In: Nursing

the nurse is caring for a patient with acromegaly. The patient asks why she is not...

the nurse is caring for a patient with acromegaly. The patient asks why she is not growing to be a giant since she has increased growth hormone. what is the appropriate response by the nurse?

Solutions

Expert Solution

GIGANTISM refers to abnormally high linear growth due to excessive action of insulinlike growth factor-1 (IGF-1) while the epiphyseal growth plates are open during childhood. ACROMEGALY is the same disorder of IGF-1 excess but occurs after the growth plate cartilage fuses in adulthood.
In other words, gigantism is in the skeletally immature and is proportional whereas acromegaly occurs in skeletally mature people and only affects those bones that can keep growing.

Etiology and risk factors

Hyperpituitarism is defined as oversecretion of one or more of the hormones secreted by the pituitary gland it is caused primarily by a hormone secreting pituitary tumor, typically a benign adenoma. Syndromes associated with Hyperpituitarism are Cushing's syndrome, acromegaly, galactorrhea and so on.

Pathophysiology

Prolactin and growth hormone are the hormones most commonly overproduced by adenomas. They lead to hyperprolactinemia and acromegaly. Increased amounts of growth hormone lead to rapid growth of all body tissues. This increased growth leads to gigantism. If it occurs before closure of the epiphysis and acromegaly if it occurs after epiphyseal closure.

... Clinical manifestations of acromegaly.

Headache

Diplopia

Lethargy

Blindness

Goiter

Broadening of hands and feet due to gross increase in soft tissue

Increased ring and shoe size

Enlargement of visceral organs

Thickening of skull protruding supra orbital ridges.

Ciaresining of facial features.

Prognathism causing underbite

Cardiomyopathy

Diabetic mellitus

Enlaged but weak skeletal muscles

Thickened heel pads

.........................

Clinical features of gigantism

Excessive growth

The child is large for their age

Delayed puberty

Double vision or difficult with peripheral vision

Headache

Increased sweating

Large hands and feet

Thickening of facial features

Weakness

So these are difference of acromegaly and gigantism. Oversecretion of growth hormone usually from the pituitary, starting between the ages of 20 and 40,this is acromegaly.oversecretion of growth hormone usually from the pituitary, starting in childhood before fusion of the growth plates of bone,is gigantism.

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

38.a nurse is caring for client who is postoperative and asks the nurse .when will I...
38.a nurse is caring for client who is postoperative and asks the nurse .when will I get to go home ?iam not sure what happens next which of the following actions should the nurse take? A: Tell cleint about the provider will discharge turn when she feels he is ready to leave B:Explain that the client should trust the provider because she has an excellent reputation C:inform the provider that the client is requesting information about his treatment D: Assure...
A nurse is caring for a patient who has a history of hypertension. The patient smokes...
A nurse is caring for a patient who has a history of hypertension. The patient smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. The patient complains of calf pain during minimal exercise that decreases with rest. What do the signs/ symptoms and medical history lead the nurse to believe is the pathophysiological problem is? Describe the pathophysiology of that problem. List a nursing diagnosis is appropriate for...
As the nurse you are caring for a patient with a Stage 2 wound on their...
As the nurse you are caring for a patient with a Stage 2 wound on their coccyx. How as the nurse would you care for this patient? (Include a description of the wound, nursing care-nutrition, dressing care for the wound, turning of patient, etc.). If you can please use a reference .
16. The nurse is caring for a patient with cerebral edema and with an order to...
16. The nurse is caring for a patient with cerebral edema and with an order to administer dexamethasone 6.5 mg IVp q6h. How many mL should the nurse prepare to administer if dexamethasone 4mg/mL is available? Round your answer to first decimal place. 17. The nurse receives and order to give Solu-cortef 200mg IM for patient with respiratory infection. Available is a vial of Solu-Cortef with a direction to add 1.8 mL of sterile water to yeild a solution of...
Susan work at South Town Hospital. While caring for a patient, she discovered that nurse Haley has caused significant injury to a patient.
Susan work at South Town Hospital. While caring for a patient, she discovered that nurse Haley has caused significant injury to a patient. Discuss the case where Haley is or is not covered under the hospital group insurance policy. (Only discuss one is covered or is not covered.). Explain with support of your reading material.
​Susan work at South Town Hospital. While caring for a patient, she discovered that nurse Haley has caused significant injury to a patient.
Susan work at South Town Hospital. While caring for a patient, she discovered that nurse Haley has caused significant injury to a patient. Discus the case where Haley is or is not covered under the hospital group insurance policy. (Only discus one: is covered or is not covered.). Explain with the support of your reading material.
You are caring for a patient with pneumonia. The UAP asks you about the chain of...
You are caring for a patient with pneumonia. The UAP asks you about the chain of infection and what that means. What would be the reservoir, portal of exit, and mode of transfer in this scenario? What recommendations would you give the UAP to interrupt the transmission of microorganisms during patient care?
A nurse is caring for a patient with anoxia (lack of oxygen) to the brain because...
A nurse is caring for a patient with anoxia (lack of oxygen) to the brain because of a drug overdose. The patient is unresponsive to external stimuli (pressure, pain, speaking to the patient). The patient is mechanically intubated to provide oxygen and ventilation support. What are the potential complications of altered brain function? Provide three examples of brain function and the altered effects on the body's systems (what happens when brain function is not working properly). Explain how this occurs...
The nurse is caring for a patient with exacerbation of sickle cell disease and in pain...
The nurse is caring for a patient with exacerbation of sickle cell disease and in pain crisis due to an infection. When reviewing the lab values, the nurse would anticipate which of the following lab values? Select all that apply. 1. Reticulocyte 12% 2.Hgb 9.2 mg/dL. 3.WBC 14.3x 103\microL 4. Ca 4.9 mg/dL
A nurse is caring for a patient with a central venous pressure (CVP) catheter. ·     What are...
A nurse is caring for a patient with a central venous pressure (CVP) catheter. ·     What are the key nursing responsibilities of managing a central venous pressure catheter? ·     What position must the nurse place the patient to read the central venous pressure correctly?
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT