Glands

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Study Tools For Glands

Gland Arrangements (Image)
Endocrine vs Exocrine Glands (Image)
Glandular Secretions (Image)
Skin Anatomy (Picmonic)
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Outline

Overview

  1. Development
    1. Derived from epithelium
    2. begin at fetus/embryo
    3. Proliferation by mitosis
  2. Function
    1. Acquire small substances from ECF
    2. Anabolism → build secretory products
    3. Gland must be stimulated to secrete
  3. Classification
    1. Number of cells present
      1. Unicellular
        1. Goblet cells only
      2. Multicellular
        1. All other glands
    2. Functional
      1. Exocrine
        1. Secretion → duct → actual free surface
      2. Endocrine
        1. Secretion → bloodstream

Nursing Points

General

  1. Morphological character → exocrine glands
    1. # of ducts
      1. One = simple
      2. Multiple = compound
        1. Many internal, one opening
        2. Liver, pancreas, salivary
    2. Shape of secretory portion
      1. Tubular
      2. Sac-like (alveolar, acinar)
    3. TYPES
      1. Simple tubular
        1. Small intestine
      2. Simple branched tubular
        1. Stomach, uterus
      3. Simple coiled tubular
        1. Sweat glands
      4. Simple alveolar
        1. Sebaceous glands
      5. Simple branched alveolar
        1. Sebaceous glands
      6. Compound tubular
        1. Liver
      7. Compound alveolar
        1. Pancreas, mammary, salivary
      8. Compound tubuloalveolar
        1. Salivary
  2. Manner of secretion
    1. Holocrine
      1. Entire cell disintegrates and releases contents and secretion
      2. Cells replaced by mitosis
      3. Ex: Sebaceous glands, goblet cells
    2. Apocrine
      1. Parts of the cell disintegrate
      2. Cell repairs itself
      3. Ex: Mammary glands, Axillary sweat glands (armpits)
    3. Merocrine
      1. All endocrine
      2. Most exocrine
        1. Except those mentioned above
      3. Secretion by exocytosis
        1. Secretory vesicles → duct → actual free surface

References
Betts, J.G., et al. (2017). Anatomy and physiology. Houston, TX: OpenStax, Rice University. Retrieved from https://openstax.org/details/books/anatomy-and-physiology?Book%20details

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Transcript

In this lesson, we’re going to talk about glands and their structure and function.

If you have watched the epithelial tissue lessons, you’ll remember that glands are derived from epithelium and the development of glands begins in the fetal and even the embryonic stages of development. The main functions of glands are to anabolize the secretory products and to secrete whatever that substance is. Anabolism means to build or create – so essentially the glands will take in small particles from the extracellular fluid, create the secretion – whatever it is – and then secrete it. Just know that glands must be stimulated in order to secrete. This could be a temperature regulation mechanism like with sweating, or another chemical reaction like with the pancreas.

We classify glands in a couple of ways – first is by the number of cells. They’re either unicellular, meaning a single cell, or multicellular, meaning many cells. There’s only one unicellular gland and that is the goblet cell. If you see it through a microscope, it literally looks like a little goblet – and there’s mucus in there! Everything else is a multicellular gland. We also classify by general function – glands are either exocrine or endocrine. Exo means outside, so exocrine glands secrete their substance through a duct and out to a free surface of some sort. Think sweat glands, salivary glands, mucus glands, etc. Endo means inside, so endocrine glands actual secrete their substances directly into the bloodstream (so it stays inside). The best example of endocrine glands would be things like the thyroid or adrenal glands. Fun fact, the pancreas actually has BOTH endocrine AND exocrine secretions! We will also classify glands by manner of secretion, which we’ll talk about a little bit later.

Now, specifically when we’re talking about exocrine glands, we have a way to describe them based on their shape and structure. First is by number of ducts. If there’s one duct it’s simple, if there is more than one duct, it’s compound – I’ll show you what this looks like in just a minute. Then we look at the actual secretory portion of the gland – if it’s tube-like it’s calle tubular – pretty easy, right? And if it’s sac-like it’s called alveolar. Another term you might see is “acinar”, but we’re going to use alveolar. So let’s look at the different combinations of these and what the structure looks like as well as an example of where it’s found.

First is simple tubular – this is pretty easy. First, remember that exocrine glands secrete to an actual free surface through a duct. So here’s the surface, and here’s the duct. With simple tubular, the secretory portion is tube-like – just like this. That’s it – simple tubular. These are found in the small intestine. Simple alveolar is the same in that it just has the one duct, but this time the secretory portion is sac-like – just like this. This is our sebaceous glands (or oil glands in the skin).

You can also see some branches – now this is where we differentiate between branches and multiple ducts. Branched means one duct has many secretory portions on it. Still only one duct though. So simple branched tubular looks like this. And simple branched alveolar is the same except the secretory portions are sac-like. These are in the stomach and uterus and these are also a form of sebaceous glands.

Now, let’s look at what compound looks like. Again – this is multiple ducts. So here’s the surface and the single external duct. Then we have multiple internal ducts, that lead to tube-like secretory portions – which may or may not be branched as well. Same thing here: surface, single external duct, multiple internal ducts with sac-like secretory portions – again may or may not be branched. We find compound tubular ducts in the liver and compound alveolar ducts in the pancreas, mammary glands, and salivary glands. Now, this may get confusing to some people – remember that exocrine secrete to an actual free surface – that doesn’t mean they secrete outside the body – just to a free surface. So in the pancreas, it secretes enzymes into the small intestine – the inside of the small intestine isn’t touching another tissue, so it is a free surface still. Make sense?

The last two types we’ll talk about are a bit specialized. Simple coiled tubular. It has one duct and a tube-like secretory portion – except it is coiled up. These are also found in our sweat glands. The last one is compound – so multiple ducts – tubuloalveolar. That means it has some tubular and some alveolar portions. This is the majority of our salivary glands.

So that was a basic rundown of the different shapes of exocrine glands.

Let’s talk about the other way we classify glands which is by the manner of secretion. Holocrine, apocrine, and merocrine. So if this is our secretory portion of our duct – remember we usually have a cuboidal epithelium of some sort. The cells in here are busy making whatever the secretory product is for that gland. In holocrine secretion – when it’s ready to secrete, the entire cell just disintegrates and releases that secretion into the duct to be secreted. If you think “hollow” because it just disappears and leaves a space here that gets replaced by a new cell. That’s holocrine. In Apocrine, just part of the cell disintegrates. So the cell will kind of pinch off part of it and it bursts to release the secretion, then just repairs itself. I like to think of the word “apex” which is usually like the top or a point like this, that’s how I remember it. And lastly is merocrine which is secretion by exocytosis. That means the cell has little vesicles that carry the secretion up and out of the cell, without any destruction of the cell wall itself. This is the majority of our exocrine glands and ALL of our endocrine glands. We see apocrine secretion in mammary and sweat glands, and we see holocrine in sebaceous glands and goblet cells.

So, remember that glands will create and secrete a certain substance depending on the function of the gland. It’s either endocrine, which is straight into the bloodstream, or exocrine which gets secreted through a duct to a free surface. We classify exocrine glands by their shape, so they’re either simple or compound and either tubular or alveolar. And finally we know there are three main ways that the secretion actually happens – holocrine, think “hollow”, apocrine, think “apex”, and merocrine – which uses exocytosis and makes up the majority of our glands.

Okay, so that’s it for our lesson on glands – make sure you check out the resources and images attached to this lesson for a great summary of what we just talked about. Now, go out and be your best self today. And, as always, happy nursing!

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Med surg 2 (Endocrine, Gastro, Neuro and musculoskeletal)

Concepts Covered:

  • Disorders of the Posterior Pituitary Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Disorders of Pancreas
  • Prenatal Concepts
  • Tissues and Glands
  • Pregnancy Risks
  • Health & Stress
  • Emergency Care of the Cardiac Patient
  • Vascular Disorders
  • Terminology
  • Studying
  • Female Reproductive Disorders
  • Disorders of the Adrenal Gland
  • Endocrine System
  • Oncology Disorders
  • Eating Disorders
  • Substance Abuse Disorders
  • Shock
  • Respiratory Disorders
  • Male Reproductive Disorders
  • Gastrointestinal Disorders
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Digestive System
  • Newborn Complications
  • Neurologic and Cognitive Disorders
  • Emergency Care of the Trauma Patient
  • Disorders of Thermoregulation
  • Hematologic Disorders
  • Lower GI Disorders
  • Immunological Disorders
  • Anxiety Disorders
  • Endocrine and Metabolic Disorders
  • Urinary Disorders
  • Cardiac Disorders
  • Central Nervous System Disorders – Brain
  • Nervous System
  • Intraoperative Nursing
  • Medication Administration
  • Urinary System
  • Musculoskeletal Trauma
  • Cognitive Disorders
  • Acute & Chronic Renal Disorders
  • Noninfectious Respiratory Disorder
  • Somatoform Disorders
  • Microbiology
  • Adult
  • Multisystem
  • Neurological
  • Emergency Care of the Neurological Patient
  • Peripheral Nervous System Disorders
  • Neurological Trauma
  • Central Nervous System Disorders – Spinal Cord
  • Neurological Emergencies
  • Musculoskeletal Disorders
  • Preoperative Nursing
  • Skeletal System
  • Musculoskeletal Disorders
  • Communication
  • Learning Pharmacology

Study Plan Lessons

03.05 Endocrine Practice Questions for CCRN Review
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Glands
Glucose Tolerance Test (GTT) Lab Values
Health & Stress
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Metabolic & Endocrine Module Intro
Metabolic & Endocrine Terminology
Metabolic/Endocrine Course Introduction
Mnemonic for Organ Systems (MR DICE RUNS)
Nursing Care and Pathophysiology for Menopause
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Osteoporosis
Nutritional Requirements
Pancreas
Pharmacology Terminology
Pituitary Adenoma
Potassium-K (Hyperkalemia, Hypokalemia)
Thyroid Cancer
Urinalysis (UA)
Anti-Infective – Carbapenems
Anti-Infective – Macrolides
Anti-Infective – Sulfonamides
Appendicitis
Bariatric Surgeries
Celiac Disease
Cirrhosis for Certified Emergency Nursing (CEN)
Colonoscopy
Colorectal Cancer (colon rectal cancer)
Constipation and Encopresis (Incontinence)
Cystic Fibrosis (CF)
Digestion & Absorption
Digestive Terminology
Discomforts of Pregnancy
Endoscopy & EGD
Erythroblastosis Fetalis
Famotidine (Pepcid) Nursing Considerations
Gastritis
Gastrointestinal (GI) Bleed Concept Map
Gastrointestinal (GI) Course Introduction
Gastrointestinal Trauma for Certified Emergency Nursing (CEN)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Hyperbilirubinemia (Jaundice)
Imperforate Anus
Intussusception
Iron (Fe) Lab Values
Liver Function Tests
Lower Gastrointestinal (GI) Module Intro
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Appendicitis
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Constipation / Encopresis
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Scleroderma
Nursing Case Study for Colon Cancer
Nutrition (Diet) in Disease
Omphalocele
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pharmacology Terminology
Physiological Changes
Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Total Bilirubin (T. Billi) Lab Values
Umbilical Hernia
Upper Gastrointestinal (GI) Module Intro
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Hyperparathyroidism
Nutrition Assessments
Alcohol Withdrawal (Addiction)
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Ammonia (NH3) Lab Values
Autonomic Nervous System (ANS)
Barbiturates
Bowel Perforation for Certified Emergency Nursing (CEN)
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Chemotherapy Patients
Complications of Immobility
Day in the Life of a Med-surg Nurse
Dementia Nursing Mnemonic (DEMENTIA)
Fibromyalgia
Head to Toe Nursing Assessment (Physical Exam)
Meds for Alzheimers
Nuclear Medicine
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for Distributive Shock
Nutrition Assessments
Pituitary Gland
Stomach Cancer (Gastric Cancer)
Vomiting
Adrenal Gland
Advanced Cardiovascular Life Support (ACLS)
Anti-Infective – Antifungals
07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
07.10 Neurologic Review questions for CCRN Review
Acute Confusion
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)
Blood Brain Barrier (BBB)
Brain Tumors
Brain Tumors
Cerebral Metabolism
Cerebral Palsy (CP)
Cerebral Perfusion Pressure Case Study (60 min)
Electroencephalography (EEG)
Encephalopathies
Encephalopathy Case Study (45 min)
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Hydrocephalus
Increased Intracranial Pressure
Impulse Transmission
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Intracranial Hemorrhage
Intracranial Pressure ICP
Levels of Consciousness (LOC)
Mannitol (Osmitrol) Nursing Considerations
Meningitis
Membrane Potentials
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Migraines
Nerve Transmission
Nervous System Anatomy
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Terminology
Neuro Trauma Module Intro
Neurogenic Shock for Certified Emergency Nursing (CEN)
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Neurological Fractures
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Migraines
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Case Study for Head Injury
Parasympatholytics (Anticholinergics) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Seizure Causes (Epilepsy, Generalized)
Seizure Disorder for Progressive Care Certified Nurse (PCCN)
Seizure Disorders for Certified Emergency Nursing (CEN)
Seizure Management in the ER
Seizures Case Study (45 min)
Spina Bifida – Neural Tube Defect (NTD)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Stroke (CVA) Management in the ER
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke for Certified Emergency Nursing (CEN)
Stroke for Progressive Care Certified Nurse (PCCN)
Stroke Nursing Care (CVA)
Casting & Splinting
Complications of Immobility
Head to Toe Nursing Assessment (Physical Exam)
Health & Stress
Intro to Health Assessment
Introduction to Health Assessment
Joints
Marfan Syndrome
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Musculoskeletal Terminology
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Scleroderma
Nutrition Assessments
Osteosarcoma
Physiological Changes
Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Report For Transferring To a Higher Level of Care
The SOCK Method – O