Unit 5 & 6 Chapter 57 Addison's and Cushing's Disease Flashcards
What is Addison’s
decrease steroid hormone in the adrenal cortex
(Cortisol)
What is the purpose of Cortisol?
- Purpose: manages how body uses carbs, fats, proteins
- *Keeps inflammations down *Regulates blood sugar *Controls sleep/wake
- Boosts energy so you can handle stress
What are some side effects of of Steroids?
-weight gain
-hyperglycemia
-fluid retention
S/s of Addisons
hypoglycemia
anorexia and weight loss.
high BUN
Dry skin
Vitiligo or
Hyperpigmentation
* Anorexia
* Nausea, vomiting
* Abdominal pain
* Constipation or diarrhea
Weight loss
* Salt craving
* Anemia
Hypotension
Hyponatremia
Hyperkalemia
* Hypercalcemia
* Muscle weakness
* Fatigue
bronze pigment in skin
* Joint and/or muscle pain
Low adrenal androgen levels decrease body, axillary, and pubic hair, especially in women, because the adrenals produce most of the androgens in females
What is the drug of choice for addison’s disease?
A. Tolvaptan
B. Bumetadine
C. Dexamethasone
D. Methadone
C. Dexamethasone
Which electrolyte imbalance would cause major concern and should be reported to the health care provider immediately
A. Potassium 6.0
B. Calcium 12.0
C. Sodium 132
D. Magnesuin 1.2
A. Potassium 6.0
Drug of choice to restore hormanal and electrolyte balance for addisons?
A. Fludrocortisone
B. Bumetadine
C. Hydrochloritiazide
D. Atenolol
A. Fludrocortisone
An additional mineralocorticoid hormone, such as fludrocortisone, may be needed to maintain or restore fluid and electrolyte balance (especially sodium and potassium).
S/e of fludrocortisone?
-fluid retention
What skin asssesment best decribed the patient with Addisons disease?
A. Pallor and pale skin
B. Damp and diaphoretic
C. Bronze skin color
D. Mottling skin
C. Bronze skin color
If your patient who has undergone trauma and is diagnosed with Addison’s disease, what complication would you suspect to occur?
A. Myexadoma coma
B. Thyroid storm
C. Graves disease
D. Addisonian crisis
D. Addisonian crisis
Before a surgical procedure would the provider prescribe in increase of fludrocortidone or decrease for patients with addison’s disease?
A. increase
B. decrease
A. increase
What is the cause of Acute adrenal insufficiency (addisonian crisis)?
It often occurs in response to a stressful event (e.g., surgery, trauma, severe infection), especially when the adrenal hormone output is already reduced.
-a sudden cessation of long-term glucocorticosteroid therapy
patient’swith addison cannot wih stand stress, stress is life threateing
What is your major-concern if your patient’s sodim levels are low?
A. seizure
B. irritability
C. risk for falls
D. fractures
A. seizure
What is your major-concern if your patient’s potassium is high?
A. Cardiac Arrest
B. Myocardial infarction
C. Pulmonary Edema
D. Acute Coronary Syndrome
A. Cardiac Arrest
S/s of Acute Adrenal Insufficiency
(addisonian crisis)
Problems are the same as those of chronic insufficiency but are more severe. However, unless intervention is initiated promptly,sodium levels fall, and potassium levels rise rapidly ( Pereira, 2016 ). Severe hypotension results from the blood volume depletion that occurs with the loss of aldosterone.
-hyponatremia
-hyperkalemia
-hypotention
-hypoglycemia