Pituitary Gland

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Pituitary Gland (Image)
Anterior Pituitary (Picmonic)
Posterior Pituitary (Picmonic)
Pituitary Gland (Cheatsheet)
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Outline

Overview

  1. Location – sella turcica of sphenoid bone
  2. Also known as “hypophysis”
  3. Components
    1. Pituitary gland is an outgrowth of hypothalamus
    2. Infundibulum – “hypophyseal stalk”
      1. Direct connection with hypothalamus and posterior pituitary
    3. Posterior pituitary – “neurohypophysis”
      1. Functions with infundibulum
    4. Anterior pituitary – “adenohypophysis”
      1. Attaches to posterior pituitary gland
      2. Controls majority of endocrine hormones in the body

Nursing Points

General

    1. Posterior pituitary gland
      1. Secretions
        1. ADH & Oxytocin produced in hypothalamus and transported through infundibulum
        2. Stored and secreted from posterior pituitary
      2. Functions
        1. ADH
          1. Antidiuretic hormone
            1. Promotes retention of water in the kidneys
            2. See Renal Fluid & Electrolyte Balance lesson
            3. Clinical Notes:

 

              • Diabetes Insipidus

 

                1. Not enough ADH

 

              • Syndrome of Inappropriate Antidiuretic Hormone

 

              1. Too much ADH
      1. Oxytocin
        1. Stimulates smooth muscle in uterus during labor and delivery
        2. Lactating breast
          1. Sucking – neurohormonal reflex
            1. Releases oxytocin
            2. Result = ejection of milk
  1. Anterior pituitary gland
    1. Types of hormones
      1. Trophic hormones
        1. Control secretion of other endocrine glands
          1. Hypothalamus-hypophyseal portal system (HHP)
            1. Capillaries in hypothalamus
            2. Portal venules in infundibulum
            3. Capillaries in anterior pituitary
      2. Releasing hormones (from hypothalamus)
        1. Made in hypothalamus and enter HHP
        2. Enter Anterior pituitary and stimulate it to secrete trophic hormones
        3. Each RH specific to a trophic hormone
      3. Example:
        1. Somatotrophic Releasing Hormone causes secretion of Somatotrophic Hormone
    2. Secretions
      1. Somatotrophic hormone (STH) or growth hormone (GH)
        1. Stimulates uptake of amino acids into cells (favors protein synthesis)
        2. Prevents wasting of skeletal muscle
        3. “Hyperglycemic agent”
          1. Stimulates glycogenolysis in liver (releases glucose into blood)
          2. Stimulates fat to be used for energy instead of glucose
        4. Stimulates liver to produce and secrete insulin-like growth factor (IGF) which stimulates growth of bone and cartilage
          1. Hypersecretion → giantism
          2. Hyposecretion → pituitary dwarfism
          3. Acromegaly → hypersecretion in adult
            1. Increased size of hands, feet, bones, jaw
      2. Gonadotropins – reproductive hormones
        1. Follicle stimulating hormone (FSH)
          1. Female
            1. Produce eggs
            2. Secrete estrogens
          2. Male
            1. Produce sperm
        2. Luteinizing hormone (LH)
          1. Female
            1. Stimulates late development of ovarian follicle
            2. Induces ovulation
            3. Makes corpus luteum
            4. Stimulates secretion of estrogens and progesterone
          2. Male
            1. Stimulates Leydig cells in testes to secrete testosterone
      3. Adrenocorticotropic hormone (ACTH)
        1. Stimulates growth and maintenance of adrenal cortex gland
        2. Stimulates production and secretion of hormones from adrenal cortex gland
          1. See Adrenal Gland lesson
      4. Thyrotropic Hormone (Thyroid-stimulating hormone) (TSH)
        1. Stimulates maintenance and health of thyroid gland
        2. Stimulates production and secretion of 2/3 of thyroid hormones
          1. T3
          2. T4
        3. See Thyroid Gland lesson
      5. Prolactin
        1. Female – produces milk in lactating breast
        2. Male – affects Leydig cells…makes them more responsive
          1. Enhances testosterone secretion
      6. Prolactin-inhibiting hormone (PIH)
        1. Prevents secretion of prolactin in non-pregnant state in females.

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 are going to take a look at the pituitary gland.

The pituitary gland is a small gland found in an area called the sella turcica. It sits right behind the eyes and right below the hypothalamus. It’s also known as the hypophysis. It’s made up of three main divisions, the infundibulum, the posterior pituitary and the anterior pituitary.

The infundibulum is also known as the hypophyseal stalk, and it’s the connection between the hypothalamus and the pituitary gland. The posterior pituitary is also known as the neurohypophysis and it helps to function with the infundibulum.

The anterior pituitary is also known as the adenohypophysis, and it attaches to the posterior pituitary gland. It controls the majority of endocrine hormones.

With the posterior pituitary gland, the main two hormones that it deals with are oxytocin and antidiuretic hormone. With the antidiuretic hormone, it is the main hormone responsible for promoting the retention of water in the kidneys, does anti mean, diuretic means to diurese or release water. So the purpose of the antidiuretic hormone is to keep water from going out of the body. With conditions like diabetes insipidus, this is not enough of the antidiuretic hormone, and that means that there is going to be way too much water leaving the body. Oppositely there’s another condition called the syndrome of inappropriate antidiuretic hormone or siadh, and that is too much ADH. That means that there is too much water being retained. There are lessons on both of these disease processes so I encourage you to check those out.

Oxytocin is the other hormone secreted by the pituitary gland. Its main purpose is to stimulate the uterine smooth muscle contraction during labor. The other thing and that it does is it stimulates the ejection of milk with lactation. The suckling of causes a release of oxytocin from the pituitary gland, and that results in the ejection of milk from the breast.

Now in the anterior pituitary gland this is also known as the adenohypophysis and there are two main types of hormones that are secreted. The first one are trophic hormones, and they control the secretion of other endocrine glands. This is done by something called the hypothalamus hypophyseal portal system. they’re transported in from the capillaries in the hypothalamus, and the portal venules in the infundibulum, and the capillaries in the anterior pituitary.

The anterior pituitary also secretes releasing hormones that are made in the hypothalamus. They enter the anterior pituitary gland and then they stimulate the secretion of trophic hormones. Each releasing hormone is specific to a trophic hormone

There are several trophic hormones that we’re going to look at so let’s get started.

The first one is called a somatic trophic hormone or sth. It’s also known as a growth hormone GH. What it essentially does is that it stimulates the uptake of amino acids so it really promotes the synthesis of muscle building because of the uptake of amino acids. It also prevents the wasting of skeletal muscle. In the event of hypoglycemia, the somatic trophic hormone will stimulate something called glycogenolysis and that also stimulates fat to be used for energy. In the liver somatic trophic hormone plays on something called the insulin-like growth factor or igf. If there’s excess secretion of the somatic trophic hormone, it leads to gigantism, and decreased secretion of the somatic trophic hormone result in pituitary dwarfism. As a result if there’s excess secretion it can a tribute to a condition called acromegaly.

There’s another trophic hormone called gonadotropins and these are reproductive hormones. The first one is the follicle-stimulating hormone or FSH. In women the FSH helps to produce eggs and secrete estrogen, and then men it helps to produce sperm. The luteinizing hormone, in women, stimulatesLate development of ovarian follicles, induces ovulation, and makes the corpus luteum. The other thing it does is it stimulates secretion of estrogen and progesterone. In men the luteinizing hormone stimulates the secretion of testosterone in the testes via the leydig cells.

There’s four other hormones that we’re going to look at and they are th eAdrenocorticotropic hormone, the thyrotropic hormone, prolactin inhibiting hormone, and prolactin.

Adrenocorticotropic hormone is the hormone that stimulates the adrenal cortex gland. It’s stimulating growth and maintenance of that gland and also stimulates the production and secretion of the hormones in the adrenal gland.

With the thyrotropic hormone it’s also known as thyroid stimulating hormone. It literally stimulates the thyroid gland and stimulates the production and secretion of 2/3 of the hormones found in the thyroid gland, T3, and T4. I encourage you to check up a lesson on the thyroid gland for more information.

Now prolactin and prolactin inhibiting hormone work hand-in-hand with each other and are both produced by the anterior pituitary gland. Prolactin stimulates the production of milk in lactating breasts, and in men and prolactin affect those leydig cells by increasing the responsiveness. It also enhance his testosterone secretion in Men.

Now prolactin inhibiting hormone prevents the secretion of prolactin in non-pregnant females.

Okay so let’s recap.

The pituitary gland is found in the sella turcica and it is divided into an interior and posterior part.

The posterior pituitary gland is called the neurohypophysis and the anterior pituitary gland is called the adenohypophysis.

The posterior pituitary gland secretes ADH and oxytocin, and the anterior pituitary gland secretes those releasing hormone.

There’s lots of hormones involved with pituitary gland in these include oxytocin, ADH, ACTH, STH, gonadotropin, TSH, Prolactin, and prolactin inhibiting hormone.
And that’s it for our lesson on the pituitary gland. Make sure you check out all the resources attached to this lesson. 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