Recommend orthodontic referral for underdeveloped jaw.
Collaborate with a dietician to access his caloric needs.
Provide for a tutor for his precocious intellectual ability.
Place him in a room with a 2-year-old boy.
Giving I.V. NPH insulin in high doses
Evaluating the child for cardiac abnormalities
Limiting fluids to prevent aggravating cerebral edema
Monitoring and recording the child’s vital signs for hypertension
Observing the child for signs and symptoms of metabolic acidosis
Handling the child carefully to prevent bruising
Monitoring vital signs for hypertension and tachycardia
Monitoring the child for signs and symptoms of hypoglycemia
Antidiuretic hormone (ADH)
Parathyroid hormone (PTH)
Growth hormone (GH)
Melanocyte-stimulating hormone (MSH)
Sodium bicarbonate from renal compensation
Potassium from cell death
Glucose from carbohydrate metabolism
Ketone bodies from fat metabolism
Linear growth retardation with skeletal proportions normal for chronologic age
A complete normal growth pattern. but with the onset of precocious puberty
Normal growth for first five years. followed by progressive linear growth retardation
Growth retardation in which height and weight are equally affected
Anterior pituitary gland hypofunction
Posterior pituitary gland hyperfunction
Parathyroid gland hyperfunction
Thyroid gland hyperfunction
“If your blood glucose levels are controlled. you can switch to using pills.”
“The pills correct fat and protein metabolism. not carbohydrate metabolism.”
“Your body does not make insulin. so the insulin injections help to replace it.”
“The pills work on the adult pancreas. you can switch when you are 18.”
Type 1 and 2
The child should be allowed to play because doing so can foster healthy self-esteem.
The risk for fractures is increased because a GH deficiency results in fragile bones.
Activity could aggravate insulin sensitivity. causing hyperglycemia.
Activity would aggravate the child’s joints. already over tasked by obesity.