Glands

You're watching a preview. 300,000+ students are watching the full lesson.
Master
To Master a topic you must score > 80% on the lesson quiz.

Included In This Lesson

Study Tools For Glands

Gland Arrangements (Image)
Endocrine vs Exocrine Glands (Image)
Glandular Secretions (Image)
Skin Anatomy (Picmonic)
NURSING.com students have a 99.25% NCLEX pass rate.

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

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

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!

Study Faster with Full Video Transcripts

99.25% NCLEX Pass Rate vs 88.8% National Average

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

🎉 Special Offer 🎉

Nursing School Doesn't Have To Be So Hard

Go from discouraged and stressed to motivated and passionate

Endocrine

Concepts Covered:

  • Endocrine System
  • Tissues and Glands
  • Disorders of Pancreas
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Oncology Disorders
  • Pregnancy Risks
  • Respiratory Disorders
  • Terminology
  • Disorders of the Posterior Pituitary Gland
  • Eating Disorders
  • Medication Administration
  • Statistics
  • Female Reproductive Disorders
  • Renal Disorders
  • Substance Abuse Disorders
  • Renal and Urinary Disorders
  • Newborn Care
  • Studying
  • Urinary System
  • Noninfectious Respiratory Disorder

Study Plan Lessons

Pituitary Gland
Pancreas
Glands
Metabolic & Endocrine Module Intro
Metabolic/Endocrine Course Introduction
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Pituitary Adenoma
Thyroid Cancer
Glucose Tolerance Test (GTT) Lab Values
Thyroid Gland
Pituitary Gland
Free T4 (Thyroxine) Lab Values
Glucose Lab Values
Iodine Nursing Considerations
Levothyroxine (Synthroid)
Hypoparathyroidism
Hyperthyroidism Case Study (75 min)
Metabolic & Endocrine Module Intro
Metabolic & Endocrine Terminology
Metabolic/Endocrine Course Introduction
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Thyroid Cancer
Pituitary Adenoma
Pituitary Gland
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Thyroid Cancer
Thyroid Gland
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
Triiodothyronine (T3) Lab Values
Metabolic & Endocrine Terminology
Antidiabetic Agents
Hypoparathyroidism
Iodine Nursing Considerations
Hyperthyroidism Case Study (75 min)
Free T4 (Thyroxine) Lab Values
Levothyroxine (Synthroid)
Metabolic & Endocrine Module Intro
Metabolic/Endocrine Course Introduction
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Thyroid Cancer
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Thyroid Cancer
Triiodothyronine (T3) Lab Values
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Hypothyroidism
Pituitary Adenoma
Pituitary Gland
Thyroid Gland
Hypoparathyroidism
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Metabolic & Endocrine Terminology
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Thyroid Gland
Thyroid Cancer
Diabetes Mellitus Case Study (45 min)
Glucose Lab Values
Hypoglycemia
Glucagon Lab Values
Glipizide (Glucotrol) Nursing Considerations
Glands
Metabolic & Endocrine Terminology
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Hypoglycemia
Pancreas
Adrenal Gland
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Cortisol Lab Vales
Cortisone (Cortone) Nursing Considerations
Corticosteroids
Cushing’s Syndrome Case Study (60 min)
Metabolic & Endocrine Terminology
Metabolic/Endocrine Course Introduction
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Cushing’s Disease
Pituitary Gland
Diabetes Insipidus Case Study (60 min)
Free T4 (Thyroxine) Lab Values
Growth Hormone (GH) Lab Values
Metabolic & Endocrine Terminology
Metabolic/Endocrine Course Introduction
Cortisol Lab Vales
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Pituitary Adenoma
Pituitary Gland
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroid Gland
Growth Hormone (GH) Lab Values
Pituitary Adenoma
Pituitary Gland
Cushing’s Syndrome Case Study (60 min)
Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Glipizide (Glucotrol) Nursing Considerations
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Type 1 Diabetes
Pituitary Gland
Protein in Urine Lab Values
Urinalysis (UA)
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Cushing’s Syndrome Case Study (60 min)
Cushings Assessment Nursing Mnemonic (STRESSED)
Nursing Care Plan (NCP) for Cushing’s Disease
Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Nursing Mnemonic (DDD)
Enuresis
Metabolic/Endocrine Course Introduction
Metabolic & Endocrine Module Intro
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Urinalysis (UA)
Nursing Care Plan (NCP) for Diabetes Insipidus
Diabetes Insipidus Case Study (60 min)
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetic Ketoacidosis (DKA) Case Study (45 min)
DKA Treatment Nursing Mnemonic (KING UFC)
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Case Study for Type 1 Diabetes
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Glucose Lab Values
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Adrenal Gland
Antidiabetic Agents
Blood Glucose Monitoring
Diabetes Management
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Glipizide (Glucotrol) Nursing Considerations
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypoglycemia
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin
Insulin Mixing
Insulin Drips
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Metformin (Glucophage) Nursing Considerations
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Case Study for Type 1 Diabetes
Pancreas
Corticosteroids
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care and Pathophysiology for Cushings Syndrome
Cushings Assessment Nursing Mnemonic (STRESSED)
Cushing’s Syndrome Case Study (60 min)
Adrenal Gland
Addisons Disease
Addisons Assessment Nursing Mnemonic (STEROID)
Cortisol Lab Vales
Cortisone (Cortone) Nursing Considerations
Corticosteroids
Adrenal Gland
Addisons Disease
Cushing’s Syndrome Case Study (60 min)
Cushings Assessment Nursing Mnemonic (STRESSED)
Glucose Lab Values
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Pituitary Adenoma
Pancreas
Glucagon (GlucaGen) Nursing Considerations
Glucagon Lab Values
Hypoglycemia
Nursing Care Plan (NCP) for Hypoglycemia
Pancreas
Adrenal Gland
Antidiabetic Agents
Blood Glucose Monitoring
Diabetes Management
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Corticosteroids
Disease Specific Medications
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Glipizide (Glucotrol) Nursing Considerations
Glucose Tolerance Test (GTT) Lab Values
Glucose Lab Values
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypoglycemia
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Insulin Mixing
Insulin Drips
Insulin – Short Acting (Regular) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Case Study for Type 1 Diabetes
Pancreas
Pituitary Gland
Growth Hormone (GH) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroid Gland
Pituitary Gland
Nursing Care Plan (NCP) for Hyperthyroidism
Free T4 (Thyroxine) Lab Values
Triiodothyronine (T3) Lab Values
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroid Gland
Thyroid Cancer
Pituitary Gland
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Free T4 (Thyroxine) Lab Values
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Pituitary Gland
Thyroid Gland
Thyroid Cancer
Triiodothyronine (T3) Lab Values
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hyperparathyroidism