ADDISON'S DISEASE Flashcards

1
Q

Gender incidence in Addison’s disease

A

women

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2
Q

Addison’s disease is AKA

A

Chronic adrenocortical insufficiency

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3
Q

Possible causes of Addison’s disease

A P T

A

Autoimmune
Pituitary gland tumor
TB/AIDS

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4
Q

Initial manifestation of Addison’s disease

A

Fatigue

excemption to the rule of K

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5
Q

Late manifestations of Addison’s disease

MW WDP PHS WL A NV

May We Play With Addison Na?

A

Muscle weakness
Weak, diminished pulse
Postural hypotentsion, Syncope (faint)
Weight loss
Annorexia
Nausea, vomiting

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6
Q

Nursing interventions for Addison’s disease

MAMTWEIT

A

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

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7
Q

Recommended diet for Addison’s disease

A

High Na, High carbs, Low K, Low Ca

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8
Q

Nursing responsibilities for Steroid therapy (FBEQ)

V W E UG D

Very Weak Every UndeGround Dick

A

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

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9
Q

Report to physician if patient develops

A

Dizinness on standing/sitting
Nausea and vomiting
Malaise

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10
Q

Steroid therapy: administer oral forms ____meals or milk; steroids _____meals

A

after

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11
Q

Steroid therapy dose

A

2/3 in AM, 1/3 in PM

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12
Q

Steroid therapy is lifelong. T/F

A

T (for most people)

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13
Q

Side effects of Steroids: FBEQ (1)

HHHOEHI

Ha Ha Ha Of Every High Ice

A

hyperglycemia
hypokalemia,
hypocalcemia,
osteoporosis,
edema,
hypertension,
increased susceptibility to infection

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14
Q

Side effects of Steroids: FBEQ (2)

MEHAA

Mold Every Hair And Air

A

mood swings
easy bruising,
hirsutism,
acne,
altered fat metabolism

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15
Q

Altered fat metabolism manifests

A

truncal obesity with
thin arms and legs, buffalo hump

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16
Q

Contraindications of corticosteroids

FDAND PRB

Fuck Duck and Never Do PRB

A

Fungal infection
DM patients - use with caution
ASA
NSAIDS
Diuretics
Phenytoin, Rifampin, barbiturates

17
Q

Corticosteroid is used with caution in patients with infection because

A

It masks the s/s of infection

Advise patient to wear medic-alert bracelet

18
Q

A life- threatening response to acute adrenal
insufficiency

A

ADDISONIAN CRISIS

18
Q

Triggers/stressors of Addisonian crisis

SISAW

A

Stress
Infection
Surgery
Abrupt Widthrawal of steroid use

19
Q

Clinical manifestations of Addisonian crisis

SGSHI

A

Severe headache
Generalizedd weakness
SV/D
Hypotension
Irritability and confusion

20
Q

DOC for addisonian crisis

A

Glucocorticoids per IV then PO: solu-cortef, hydrocortisone, sodium succinate

21
Q

Nursing intervention in Addisonian crisis

A

Monitor v/s (esp BP)
Monitor neuro stat (esp irritability and confusion)
Monitor I and O
Monitor serum Na, K, blood glucose
Protect from infection
Strict bed rest
Quiet environment

22
Q

In Addisonian crisis, fluid balance is restored usually in __ hours

A

hours