ADDISON'S DISEASE Flashcards
Gender incidence in Addison’s disease
women
Addison’s disease is AKA
Chronic adrenocortical insufficiency
Possible causes of Addison’s disease
A P T
Autoimmune
Pituitary gland tumor
TB/AIDS
Initial manifestation of Addison’s disease
Fatigue
excemption to the rule of K
Late manifestations of Addison’s disease
MW WDP PHS WL A NV
May We Play With Addison Na?
Muscle weakness
Weak, diminished pulse
Postural hypotentsion, Syncope (faint)
Weight loss
Annorexia
Nausea, vomiting
Nursing interventions for Addison’s disease
MAMTWEIT
Monitor I and O
Assess for signs of DHN
Monitor cardiovascular status
Take VS, character of pulses, K levels, ECGs
Weigh daily
Encourage oral fluid intake of 3-4 L/day
Increase salt intake.
Teach to sit and stand slowly and provide assistance
Recommended diet for Addison’s disease
High Na, High carbs, Low K, Low Ca
Nursing responsibilities for Steroid therapy (FBEQ)
V W E UG D
Very Weak Every UndeGround Dick
V/s 4 times a day
Weigh daily, same time
Electolyte levels - monitor
Urine, urine ketones, glucose blood levels - monitor
Dose should be tapered off and not stopped abruptly
stopping abruptly result to addisonian crisis
Report to physician if patient develops
Dizinness on standing/sitting
Nausea and vomiting
Malaise
Steroid therapy: administer oral forms ____meals or milk; steroids _____meals
after
Steroid therapy dose
2/3 in AM, 1/3 in PM
Steroid therapy is lifelong. T/F
T (for most people)
Side effects of Steroids: FBEQ (1)
HHHOEHI
Ha Ha Ha Of Every High Ice
hyperglycemia
hypokalemia,
hypocalcemia,
osteoporosis,
edema,
hypertension,
increased susceptibility to infection
Side effects of Steroids: FBEQ (2)
MEHAA
Mold Every Hair And Air
mood swings
easy bruising,
hirsutism,
acne,
altered fat metabolism
Altered fat metabolism manifests
truncal obesity with
thin arms and legs, buffalo hump