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Endocrine Conditions

Endocrine Conditions. Caring for children in a community program. Endocrine System. Pituitary gland “Master gland” Produces hormones that are important for normal growth and puberty Controls several glands including adrenal and thyroid. Adrenal insufficiency.

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Endocrine Conditions

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  1. Endocrine Conditions Caring for children in a community program 2019-06-01

  2. Endocrine System • Pituitary gland • “Master gland” • Produces hormones that are important for normal growth and puberty • Controls several glands including adrenal and thyroid

  3. Adrenal insufficiency • Body does not produce enough cortisol to meet its needs • Cortisol • Helps control blood glucose and blood pressure • Assists the body in coping with physical stress, illness and injury • Cortisol replacement therapy • Taken daily, most often at home • Stress dose required when child experiences physical stress

  4. Adrenal insufficiency • Nausea • Vomiting • Fever • Cold clammy skin • Pale face • Dark circles under the eyes • Unexplained dizziness • Lethargy/weakness • Confusion

  5. Adrenal insufficiency • Administer 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. If in doubt, treat! A child experiencing physical stress should NOT remain at the community program

  6. Acute adrenal insufficiency • Severe vomiting • Seizures • Loss of consciousness • Call 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. hypoglycemia Children with endocrine conditions may be at risk for hypoglycemia • Adrenal insufficiency • Hyperinsulinism • Growth hormone deficiencies • Hypopituitarism

  8. hypoglycemia • Cold, clammy skin • Shakiness, lack of coordination • Irritable, hostile, poor behavior • Tired • Sudden moodiness or behavior change • Difficulty concentrating, confusion • Staggering gait • Child may complain of • nervousness • excessive hunger • headache • blurred vision • dizziness • abdominal pain or nausea • Fainting, unconsciousness

  9. hypoglycemia • Give 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 hypoglycemia • If 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 insipidus • If 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 information • Type of endocrine condition • Location of emergency medication, if administered at community program Health Care Plans are located in child file and binder

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