CUSHING'S SYNDROME

Question 1

Other name for cushing’s syndrome

Answer 1

Hypercortisalism

Question 2

Causes of Cushing’s syndrome

Answer 2

Pituitary adenoma / adrenal adenoma
Prolonged steroid therapy

Question 3

Gender incidence

Answer 3

women

Question 4

Manifestations of cushing’s syndrome

Answer 4

Central obesity
Obesed trunk , thin arms and legs
Moonface
Buffalo hump
Reddish purple striae on trunk
Muscle wasting and weakness
Thinning of skin
Easy Bruising
Poor Wound Healing susceptibility to infection
Edema
Decreased libido
Hirsutism
Osteoporosis
Acne

Question 5

The 4H manifestation of Cushing’ s syndrome

Answer 5

Hypertension
Hyperglycemia
Hypokalemia
Hypocalcemia

Question 6

Interventions in Cushing’s syndrome

Answer 6

Monitor vital signs especially BP
Monitor intake and output
Monitor for weight edema
Monitor lab values, WBC, serum glucose,Na, k, Ca
Provide meticulous skin care
Allow the client to discuss feelings related to body
Limit visitors
Use principles of medical and surgical asepsis

Question 7

Patient’s diet in cushing’s syndrome

Answer 7

Increase fruit and vegetables, whole grains and legumes

Low sodium, high K, high Ca