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ENDOCRINE DISEASES > ADDISON'S DISEASE > Flashcards

ADDISON'S DISEASE Flashcards

1
Q

Addison’s disease is decrease in what hormone?

A

ACTH/Adrenocortical hormone

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2
Q

what are the 3S that is decreases in ACTH

A

Sugar
Salt
Sex

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3
Q

Gender incidence

A

Female

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4
Q

Causes of addison’s disease

A

TAPA

TB
Autoimmune
PGT/Pituitary gland tumor
AIDS

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5
Q

Concept of addison’s disease

A

” Everything is low except potassium calcium and PR “

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6
Q

Initial manifestation of addison’s disease

A

Fatigue (low and slow)

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7
Q

Late sign of Addison’s disease

A

Muscle weakness

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8
Q

Other signs and symptoms of addison’s disease

A

Hypotension
Hypoglycemia
Hyperkalemia
Weight loss
Weak pulse
Anorexia
Bronze pigmentation of skin
Decreased ability to cope up stress
Emotional changes

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9
Q

Nursing interventions for Addison’s disease

A

MMMEAT
Monitor I and O
Monitor cardiovascular status
Monitor weight daily
Encourage oral fluid intake (3- 4l / day)
Assess for signs of dehydration
Teach to sit and stand slowly

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10
Q

Recommended diet for addison’s disease

A

Low potassium
Low calcium
High salt
High carbohydrates

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11
Q

Nursing responsibilities when the patient is taking steroids

A

Vital signs 4x a day
Monitor urine and blood glucose levels and urine ketones
Monitor electrolyte levels

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12
Q

When do you administer steroids

A

Every after meals (to avoid GI irritation)

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13
Q

How many dose of steroid will be administered in morning and afternoon

A

2/3 in AM and 1/3 in PM

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14
Q

Most people will need to take steroid for

A

The rest of their lives

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15
Q

Side effects of steroid

A

Immuresuppressant
Increase protein metabolism
Poor would healing
Easy bruising, thinning of skin

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16
Q

What are the 4H on the side effect of steroid

A

Hypertension
Hyperglycemia
Hypocalcemia
Hypokalemia

17
Q

Altered fat metabolism in Addison’s disease are

A

Truncal obesity
This arms and legs
Buffalo hump
Moon face

18
Q

Contraindication of corticosteroid

A

Psychosis and fungal infection

19
Q

Why you need to be cautious in giving corticosteroid in patient with diabetes mellitus

A

Hyperglycemia may occur

20
Q

Why does the patient cannot take aspirin and NSAIDs together with corticosteroid

A

It will increased risk for GI bleeding and ulcerations

21
Q

Medications that can decreased the absorption of corticosteroid

A

Phenytoin
Rifampin
Barbiturates

22
Q

Masks the s/s of _________, so they should be
used with caution in clients with infection

A

Infection

23
Q

FBEQ: signs and symptoms of Addison’s disease

A

Hirsutism
Easy bruising
Altered fat metabolism
Acne
Mood swings

ENDOCRINE DISEASES (9 decks)

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