1. Watch the following video: https://www.youtube.com/watch?v=4RAEucjAfDc&t=34s (9 min) Activity – M

1. Watch the following video: https://www.youtube.com/watch?v=4RAEucjAfDc&t=34s (9 min) Activity – Match the hormones with the correct endocrine glands Instructions: Match the hormones listed in Column A with the correct glands in Column B. Write the letter of the correct answer next to each hormone. Column A A. Norepinephrine B. Parathyroid Hormone (PTH) C. Calcitonin D. Thyroid-Stimulating Hormone (TSH) E. Antidiuretic Hormone (ADH) F. Thyroxine (T4) G. Aldosterone H. Triiodothyronine (T3) I. Oxytocin J. Adrenocorticotropic Hormone (ACTH) K. Growth Hormone (GH) L. Epinephrine M. Cortisol Column B 1. Thyroid Gland: ___________________________________________ 2. Parathyroid Glands: _______________________________________ 3. Pituitary Gland: ___________________________________________ 4. Adrenal Glands: __________________________________________ Please answer: Why is the endocrine system critical to our overall health? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 2. Diabetes Insipidus (DI) vs. Syndrome of inappropriate antidiuretic hormone (SIADH) 1. Watch the following videos: https://www.youtube.com/watch?v=hKFGGv0E-5A (5 min) 2. Create a pamphlet on the signs and symptoms of both DI & SIADH – What would be important patient education for both DI & SIADH? BE CREATIVE! Acromegaly (Gigantism) vs. Growth Failure Watch the following video: https://www.youtube.com/watch?v=7_MSEcxZxLE&t=186s (5 min) Pituitary Tumors Watch the following video: https://www.youtube.com/watch?v=iZpEqzGBqz8 (5 min) 1. Create a post-op care plan for Jim after the removal of his pituitary gland. What would be 3-4 important interventions to include? (Use a separate piece of paper.) 3. Research the following three main types of steroid hormones produced by the adrenal cortex: ● Mineralocorticoids (e.g., Aldosterone) ● Glucocorticoids (e.g., Cortisol ● Gonadocorticoids (e.g., Androgens) 1. Give a brief explanation on how each hormone impacts the body. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 4. Addison’s Disease & Cushing’s Disease Watch the following video: https://www.youtube.com/watch?v=mNJdZt3Z08I (15 min) Nursing Discussion Questions: 1. Pathophysiology Comparison: â—‹ How do the underlying pathophysiologies of Addison’s Disease and Cushing’s Disease differ? Discuss the role of the adrenal glands and pituitary gland in these disorders. 2. Signs and Symptoms: â—‹ What are the distinguishing clinical features of Addison’s Disease and Cushing’s Disease, and how can nurses use these differences to guide assessment and diagnosis? 3. Diagnostic Testing: â—‹ Discuss the importance of laboratory tests, such as the ACTH stimulation test for Addison’s Disease and the dexamethasone suppression test for Cushing’s Disease. How do these tests assist in confirming the diagnosis? 4. Patient Education: â—‹ What key points should a nurse emphasize when educating a patient diagnosed with Addison’s Disease regarding lifelong hormone replacement therapy and managing symptoms during times of stress or illness? 5. Managing Complications: â—‹ What are the potential complications of Addison’s Disease and Cushing’s Disease, and what nursing interventions are essential to prevent or manage these complications? 6. Nutritional Considerations: â—‹ How should a nurse address dietary needs for a patient with Addison’s Disease who may experience salt cravings and hypotension? Contrast this with dietary management for a patient with Cushing’s Disease, focusing on weight gain and hyperglycemia. 7. Long-term Management and Support: â—‹ What are the long-term management strategies for both Addison’s Disease and Cushing’s Disease? How can nurses provide ongoing support to help patients adjust to chronic conditions? 8. Emotional and Psychological Impact: â—‹ How do the physical symptoms of Addison’s Disease and Cushing’s Disease impact the patient’s emotional and psychological well-being? What interventions can nurses implement to support the patient’s mental health? 9. Monitoring and Follow-up Care: â—‹ What are the key monitoring parameters that nurses should focus on in the management of Addison’s Disease and Cushing’s Disease? How should follow-up care be structured for these patients? 10. Medication Management: ● Discuss the role of medications in the management of both conditions. How can nurses ensure patient adherence to treatment regimens, including corticosteroid therapy for Addison’s Disease and medications for managing excess cortisol in Cushing’s Disease? Please answer these questions on a different piece of paper:) 5. Hypothyroidism vs. Hyperthyroidism Watch the following videos: https://www.youtube.com/watch?v=YyHM9xQyyas (20 min) Create one (1) slide for each (You can use a piece of paper, too!): â—‹ Hypothyroidism: causes, symptoms, and management, include the definition of myxedema coma, and any diagnostic tests r/t hypothyroidism â—‹ Hyperthyroidism: causes, symptoms, and management, include what Grave’s Diseas is, and any diagnostic tests r/t hyperthyroidism â—‹ Explain the complication of a Thyrotoxic crisis (or thyroid storm) Case Study: Patient Profile: ● Name: Mary Johnson ● Age: 42 years ● Gender: Female ● Chief Complaint: Unexplained weight gain and fatigue over the past 6 months. History: ● Medical History: Hypertension, no previous thyroid issues. ● Family History: Mother diagnosed with hypothyroidism at age 50. ● Current Medications: Lisinopril 10 mg daily. Subjective Data: ● Fatigue that worsens throughout the day. ● Difficulty concentrating (“brain fog”). ● Dry skin and thinning hair. ● Feeling cold even in warm environments. Objective Data: ● Weight: 160 lbs (increase of 15 lbs in 6 months). ● Blood Pressure: 128/82 mmHg. ● Heart Rate: 58 bpm. ● Skin: Dry and pale. ● Hair: Brittle and thinning. ● Reflexes: Delayed deep tendon reflexes. Diagnostic Tests Ordered: 1. Serum TSH, Free T4, and Free T3. 2. Lipid panel. 3. Comprehensive metabolic panel (CMP). Discussion Questions: 1. Based on the patient’s symptoms and history, what condition do you suspect? 2. What nursing interventions are priorities while awaiting diagnostic results? 3. How would you educate Mary about potential lifestyle modifications and the importance of follow- up? 6. Hyperparathyroidism vs. Hypoparathyroidism Please watch the following video: https://www.youtube.com/watch?v=tLzYQQKr4vw (3 min) 1. Create an educational handout explaining how to maintain healthy calcium levels, including diet, exercise, and medications. Post-Class Quiz: Endocrine System Knowledge Instructions: Complete the following questions to test your understanding after the class. 1. Which two hormones are produced by the thyroid gland? a. Thyroxine (T4) and Triiodothyronine (T3) b. Calcitonin and Epinephrine c. Growth Hormone (GH) and Oxytocin d. Cortisol and Aldosterone 2. What is the primary role of cortisol in the body? a. Regulating metabolism and stress response b. Stimulating milk ejection during breastfeeding c. Regulating calcium levels in the blood d. Increasing blood pressure by promoting water retention 3. Which condition is caused by an underactive thyroid gland? a. Addison’s disease b. Hyperthyroidism c. Hypothyroidism d. Cushing’s syndrome 4. What is the role of Parathyroid Hormone (PTH)? a. Decrease blood calcium levels b. Increase blood calcium levels c. Stimulate the thyroid gland d. Regulate cortisol production 5. A patient presents with rapid weight gain, a “moon face,” and high blood pressure. Which gland and condition are likely involved? a. Thyroid gland; Hypothyroidism b. Adrenal gland; Cushing’s syndrome c. Pituitary gland; Acromegaly d. Parathyroid gland; Hyperparathyroidism.

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