a community program 20190601 Endocrine System Pituitary gland Master gland Produces hormones that are important for normal growth and puberty Controls several glands including adrenal and thyroid ID: 1033328
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1. Endocrine Conditions Caring for children ina community program2019-06-01
2. Endocrine SystemPituitary gland“Master gland”Produces hormones that are important for normal growth and pubertyControls several glands including adrenal and thyroid
3. Adrenal insufficiencyBody does not produce enough cortisol to meet its needsCortisolHelps control blood glucose and blood pressureAssists the body in coping with physical stress, illness and injury Cortisol replacement therapyTaken daily, most often at homeStress dose required when child experiences physical stress
4. Adrenal insufficiencyNauseaVomitingFeverCold clammy skinPale faceDark circles under the eyesUnexplained dizzinessLethargy/weaknessConfusion
5. Adrenal insufficiencyAdminister cortisol stress dose.Stay with the child.Notify the parent/guardian.If parent/guardian or alternate contact cannot be reached and physical symptoms persist for 30 minutes, call 911/EMS.A child experiencingphysical stress shouldNOT remain at thecommunity program If in doubt, treat!
6. Severe vomitingSeizures Loss of consciousnessAcute adrenal insufficiencyCall 911/EMS.Administer stress dose of cortisol if the child is conscious.Notify the parent/guardian.Stay with the child until EMS personnel arrive.
7. hypoglycemiaChildren with endocrine conditions may be at risk for hypoglycemiaAdrenal insufficiencyHyperinsulinismGrowth hormone deficienciesHypopituitarism
8. hypoglycemiaCold, clammy skinShakiness, lack of coordinationIrritable, hostile, poor behaviorTiredSudden moodiness or behavior changeDifficulty concentrating, confusionStaggering gaitChild may complain ofnervousnessexcessive hungerheadacheblurred visiondizzinessabdominal pain or nauseaFainting, unconsciousness
9. hypoglycemiaGive child fast-acting sugar.Wait 10-15 minutes. If no improvement, give 2nd fast acting sugar.Wait 10-15 minutes. If no improvement, give 3rd fast acting sugar and call parent/guardian.If unable to contact parent/guardian or alternate contact, call 911/EMS.If in doubt, treat!
10. Severe hypoglycemiaIf child has seizure or becomes unconsciousness Call 911/EMS. Put child in side lying position.Notify parent/guardian.DO NOT give food or drink DO NOT leave the child alone
11. Diabetes insipidusIf child experiences frequent thirst and urination (every 30 – 60 min)Contact the parent/guardian to determine if a dose of DDAVP is required.If the parent/guardian cannot be contacted, no further action is required.Provide unlimited access to water and washroom.
12. Child specific informationType of endocrine conditionLocation of emergency medication, if administered at community program Health Care Plans are located in child file and binder