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ENDOCRINE DISEASES > ADDISONIAN CRISIS > Flashcards

ADDISONIAN CRISIS Flashcards

1
Q

Definition of addisonían crisis

A

A life threatening response to acute adrenal insufficiency

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2
Q

What happens during addisonian crisis

A

Hyponatremia
Hypoglycemia
Hyperkalemia
Shock

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3
Q

What triggers / stressors of addisonian crisis

A

SISA

Stress
Infection
Surgery
Abrupt withdrawal of steroid use

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4
Q

Manifestation of addisonian crisis

A

SSCHIG

Severe headache
Severe vomiting / diarrhea
Confusion
Hypotension
Irritability
Generalized weakness

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5
Q

DOC for addisonian crisis

A

Glucocorticoids per IV than orally (solu-cortef, hydrocortisone, sodium succinate)

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6
Q

In addisonian crisis fluid balance restored usually in_____ hours

A

4-6

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7
Q

Nursing intervention in addisonian crisis

A

Monitor vital sign especially BP
Monitor neurologic status
Monitor I and O
Monitor serum sodium and potassium and CBG
Protect client from infection
Rapid replacement of IV fluids and glucocorticoid, antibiotics

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ENDOCRINE DISEASES (9 decks)

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