Adrenal Disorders Flashcards
(33 cards)
Cortisol
Manages inflammatory/glucose production
Aldosterone
Regulate BP and Fluid imbalance - RAAS
Deficiency of adrenal hormones
Addison’s Disease
Excess of adrenal hormones
Cushing’s
Epi and Norepi work on what VS?
BP, HR, RR
Adrenal cortex secretes what hormones
Cortisol and aldosterone
What autonomic nervous system is impacted by adrenal hormones?
Adrenergic
Adrenergic receptors - alphas, betas > lungs and heart
Clinical manifestation: Decrease BS production by liver
Hypoglycemia - Addison’s
Clinical manifestation: Slowed inflammatory response
Susceptible to infection
Signs of infection - Addison’s
Clinical manifestation: Decreased protein and fat metabolism
Difficulty maintaining muscle mass - Addison’s
Clinical manifestation: decrease appetite
Difficulty maintaining healthy weight - Addison’s
Addison’s disease the BP will be:
Low: Hypotension
Addison’s disease: Electrolyte imbalances
Hypovolemia
Hyponatremia
Hyperkalemia
What labs do you want to look at for Addison’s disease
BMP
Cortisol levels
Pt. with addison’s disease just got admitted to the unit. What can the nurse expect for orders for this pt.?
ADD, ADD, ADD Add fluids Add corticosteroids Add salt Subtract K+
What kind of diet can a pt. with Addison’s eat?
Regular - healthy high calorie foods, ADD Na+
How should a pt. taking aa corticosteroid take their meds?
a. ) in AM with milk
b. ) In PM with food
c. ) in AM with food
d. ) in PM with NSAID
C - In AM with food
What meal will the nurse question the pt. with Addison’s having?
a. ) Steak with green beans
b. ) Avocado toast with hashbrowns
c. ) Frozen pizza
d. ) Canned spegettios
B - Avocado toast with hashbrowns
Avacodos, potatoes, tomatoes, green leafy veggies, bananas, citrus all contain K+ and you want to restrict K+ in a pt. with Addison’s
What should the nurse teach a pt. with Addison’s to carry on them at all times?
Emergency corticosteroid injection
Use if severe illness or injury
What teaching should the nurse provide to a pt. with Addison’s about meals?
May need glucose monitor
Eat small frequent meals
What causes Cushings’s
Too much steroid meds
Excess cortisol or aldosterone
Cushing Disease
CANCER! Pituitary tumor adrenal tumor Lung tumor All of these have excess excretion of ACTH
Cushing Syndrome
Caused by corticosteroids
Clinical Manifestations of Cushing’s
Moon face Buffalo hump Thin fragile skin Osteoporosis Edema High BS High risk infection Central body obesity with thin extremities
