Addison's Disease and Cushing's Syndrome
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| show | excess of corticosteroids
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| causes of Cushing's Syndrome | show 🗑
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| show | hyperglycemia, hypokalemia, hypocalcemia, HTN, hypervolemia, depression, emotional irritability, loss of collagen, muscle waste, weight gain, thinning of hair, red cheeks, buffalo hump, moon face and slow wound healing
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| show | hypokalemia, HTN
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| androgen excess CMs | show 🗑
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| show | midnight or late night salivary cortisol
low dose dexamethasone suppression test
24 hr urine cortisol:
> 100 mcg
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| if cause is iatrogenic- medical management | show 🗑
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| show | monitor: vitals, daily weight, glucose, electrolytes
emotional support
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| what to watch out for with electrolytes | show 🗑
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| pre-op for surgical removal | show 🗑
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| show | risk for hemorrhage, monitor BP, fluid balance, electrolytes, HR, I&O, RR, weight, vomiting, administer SoluCortef
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| show | wear medic alert bracelet, avoid exposure to extreme temperatures, infection and stress,
how to adjust meds in relation to stress
when to call HCP- SOB, dizziness, vomiting
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| show | lack of glucocorticoids, mineralcorticoids, and androgens
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| show | lack of pituitary ACTH, lack of glucocortoids and androgens
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| autoimmune polyglandular syndrome | show 🗑
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| causes of addison's disease | show 🗑
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| clinical manifestations of Addison's Disease | show 🗑
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| show | actual adrenal insufficiency, sudden sharp decrease in hormones, life-threatening
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| show | stress, stopping medications, adrenal surgery, sudden pituitary gland destruction
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| clinical manifestations of addisonian crisis | show 🗑
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| ACTH stimulation test | show 🗑
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| show | abnormal ACTH test response
IV injection of synthetic CRH
blood drawn 30 and 60 mins after
High ACTH with no cortisol --> addison's
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| Diagnostics for Addison's | show 🗑
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| show | hydrocortisone (both mineral and glucocorticoid) (increase during stress)
Fludrocortisone (Florinef)
increase dietary salt intake
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| show | shock management, high dose hydrocortisone replacement, 0.9% saline solution and 5% dextrose
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| nursing management for Addison's | show 🗑
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| patient teaching for addison's | show 🗑
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| excess corticosteroid symptoms | show 🗑
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| show | 2/3 in AM, 1/3 in afternoon
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| show | 1x daily in AM
teach how to take BP at home
increase salt intake
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| corticosteroid side effects | show 🗑
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| expected effects of corticosteroid therapy | show 🗑
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| dietary needs for addison's | show 🗑
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| when to notify HCP | show 🗑
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| other patient teaching with corticosteroid therapy | show 🗑
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Created by:
ebrewer12
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