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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Test Plan

Concepts Covered:

  • Disorders of the Posterior Pituitary Gland
  • Endocrine
  • Disorders of Pancreas
  • Renal
  • Cardiac Disorders
  • Labor Complications
  • Respiratory Disorders
  • Fetal Development
  • Terminology
  • Musculoskeletal Trauma
  • Pregnancy Risks
  • Medication Administration
  • Vascular Disorders
  • Personality Disorders
  • Newborn Care
  • Substance Abuse Disorders
  • Basics of NCLEX
  • Central Nervous System Disorders – Brain
  • Postpartum Care
  • Cardiovascular Disorders
  • Renal Disorders
  • Disorders of the Adrenal Gland
  • Endocrine and Metabolic Disorders
  • Upper GI Disorders
  • Renal and Urinary Disorders
  • Integumentary Disorders
  • Urinary System
  • Intraoperative Nursing
  • Adulthood Growth and Development
  • Childhood Growth and Development
  • Studying
  • Basics of Human Biology
  • Oncology Disorders
  • Prenatal Concepts
  • Female Reproductive Disorders
  • Neurological Emergencies
  • Male Reproductive Disorders
  • Anxiety Disorders
  • Emergency Care of the Cardiac Patient
  • Gastrointestinal Disorders
  • Integumentary Disorders
  • Liver & Gallbladder Disorders
  • Acute & Chronic Renal Disorders
  • EENT Disorders
  • EENT Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Shock
  • Newborn Complications
  • Neurologic and Cognitive Disorders
  • Immunological Disorders
  • Psychotic Disorders
  • Urinary Disorders
  • Endocrine System
  • Eating Disorders
  • Hematologic Disorders
  • Communication
  • Emergency Care of the Neurological Patient
  • Emergency Care of the Trauma Patient

Study Plan Lessons

03.02 Diabetes Insipidus for CCRN Review
03.04 DKA vs HHNK for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
ACE (angiotensin-converting enzyme) Inhibitors
Adult Vital Signs (VS)
Albuterol (Ventolin) Nursing Considerations
Alpha-fetoprotein (AFP) Lab Values
Amputation
Amputation Concept Map
Angiotensin Receptor Blockers
Antepartum Testing
Antidiabetic Agents
Atenolol (Tenormin) Nursing Considerations
Atypical Antipsychotics
Blood Glucose Monitoring
Blood Urea Nitrogen (BUN) Lab Values
Bloom’s Taxonomy
Brain Tumors
Breastfeeding
Bronchodilators
Cholesterol (Chol) Lab Values
Congenital Heart Defects (CHD)
Congestive Heart Failure Concept Map
Coronavirus (COVID-19) Nursing Care and General Information
Creatinine Clearance Lab Values
Cushing’s Syndrome Case Study (60 min)
Cystic Fibrosis (CF)
Day in the Life of a Med-surg Nurse
Dehydration
Dementia and Alzheimers
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 for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Emergencies for Certified Emergency Nursing (CEN)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Encephalopathy (Hypoxic-ischemic, Metabolic, Infectious, Hepatic) for Progressive Care Certified Nurse (PCCN)
Enteral & Parenteral Nutrition (Diet, TPN)
Enuresis
Fluid Shifts (Ascites) (Pleural Effusion)
Fluid Volume Deficit
General Anesthesia
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Glipizide (Glucotrol) Nursing Considerations
Glomerular Filtration Rate (GFR)
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Growth & Development – Middle Adulthood
Growth & Development -Transitioning to Adult Care
Heart Failure for Certified Emergency Nursing (CEN)
Hemoglobin A1c (HbA1C)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Key Nutrients in the Prevention of Chronic Disease
Lipase Lab Values
Maternal Risk Factors
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Multiple Myeloma
Myocardial Infarction (MI) Case Study (45 min)
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Celiac Disease
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Dehydration & Fever
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 Fluid Volume Deficit
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan for Amputation
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Type 1 Diabetes
Nutrition (Diet) in Disease
Nutrition Assessments
Nutrition-related Diseases
Peripheral Vascular Assessment
Phenobarbital (Luminal) Nursing Considerations
Pituitary Gland
Potassium-K (Hyperkalemia, Hypokalemia)
Propranolol (Inderal) Nursing Considerations
Protein in Urine Lab Values
Red Cell Distribution Width (RDW) Lab Values
Renal Calculi for Certified Emergency Nursing (CEN)
Renal Failure- Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD) for Progressive Care Certified Nurse (PCCN)
SBAR Practice Scenarios
Science of Nutrition
Stroke (CVA) Management in the ER
Stroke Concept Map
Stroke for Certified Emergency Nursing (CEN)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Tenet 3 Why Behind the What
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Urinalysis (UA)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
What the Heck is Antepartum Testing? – Live Tutoring Archive
Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)