MEDICAL-SURGICAL NURSING BULLETS

Prepared by: Omar Brian Yu

March 24, 2007 (Saturday)

ENDOCRINE

IDENTIFICATION
1. It is a hormone that promotes development of mammary gland and secretion of milk.
2. Which hormone of thyroid gland that regulates serum Ca levels?

3. It is a drug used to inhibit release of stored thyroid hormone and retard hormone synthesis.
4. It is a drug used to inhibit synthesis of thyroid hormones
5. common side effect of number (4)

ENUMERATION
6.7. identify the two hormones secreted by Posterior Pituitary gland (neurophypophysis)
8.10 identify the three hormones secreted by the Adrenal Cortex

GASTROINTESTINAL
IDENTIFICATION
11. What is the best post-op position for patient (especially infants) who has Cleft palate?
12. What is the best post-op position for patient (especially infants) who has Cleft lip?
13. It is a type of peptic ulcer that is relieved by eating?
14. What is the most common microorganism that causes peptic ulcer?

ENUMERATION
15-20 What are the 3 enzymes secreted by the pancreas (exocrine cells) and its corresponding nutrients digested

ANSWERS
1. Prolactin
2. thyrocalcitonin
T3 (triiodothyronine) metabolism
T4 (Thyroxine) body heal production/ catabolism
3. SSKI/ KISS (Lugol’s Solution) – Saturated Solution of Potassium iodide
Nursing intervention: administer with a juice and straw
4. Thioamides: PTU (Propylthiouracil) and Tapazole (Methimazole)
5. Agranulocytosis/ neutropenia

6. ADH (antidiuretic Hormone/ Vasopressin) – retains water in the renal tubules

7. Oxytocin – uterine contraction

8. Salt Mineralocorticoids (aldosterone)

increase Na reabsorption and K loss through renal tubules
response to angiotensin II and ACTH
9. Sugar Glucocorticoids (cortisol)
Increase blood glucose by stimulating gluconeogenesis and lipolysis
Response to ACTH
10. Sex hormones androgens and estrogen
Development of certain secondary sex characteristics
Controlled by ACTH

11. prone
12. supine/ side-lying
13. duodenal ulcers – hypersecretion of acid
gastric ulcer – damaged mucosa
14. helicobacter pylori

15-20. amylase – starch

lipase – fats
trypsin – protein
GAMES:

Mouth (Oral Cavity)

*frenelum
Pharynx
Esophagus (gullet)

(Diaphragmatic hiatus)
(Esophagogastric junction)

Stomach
3 sections:
(1) *Fundus
(2) *Body/ corpus
(3) *Antrum/ pylorus

Small intestine
3 sections:
(1) Duodenum
Duodenal papilla – entry duct for bile (liver  common hepatic duct gallbladder/cystic duct  bile duct  duodenal papilla)
and pancreatic enzymes (pancreas)
(2) Jejunum
(3) Ileum

(Cecum – junction) appendix – collects lymphoid tissue

*Ileocecal valve
Large intestine (colon)
3 sections:
(1) Ascending
(2) transverse
(3) descending

Sigmoid
Rectum
Anus
2 Sphincters:
internal sphincter - involuntary control
external sphincter - voluntary control