correct actual Questions and correctlY well deFined answers
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addison's disease
absence of steroids
hypofxn of adrenal glands = decreased corticosteriods
manifestations of addison's disease
ADDSS
Added pigmentation + potassium/caused by Autoimmune disorder
Decreased weight (loss of water)/ caused by Disease (i.e. cancer, infections, HIV, TB)
Decreased BP, glucose, hair, energy, temp/caused by Damage to adrenal glands
Sodium loss
Salt craving
abdominal cramping, frail, weak
priority assessment for addison's disease
, Addisonian crisis: severe abdominal pain, lower back pain, hypotension, tachy,
weakness, hyperkalemia, hypoglycemia, hyponatremia
acute addisonian crisis priority interventions....
administer steroids iv push ("-sone")
initiate iv and admin large vol of saline sol (for hypotension, f/e imbalance,
hypoglycemia)
vitals (BLOOD PRESSURE)
how can addisonian crisis be prevented
slowly taper off steroids, steroid dose may need to be increased during times of stress or
during surgery, removing organs = replace hormones (life-long hormone replacement)
cushing syndrome
excessive amounts of steroids, chronic overexposure to corticosteroids (d2 pituitary
tumor, admin of corticosteroids)
cushing's syndrome manifestations
CUSH
Cushion = obesity, buffalo hump, moon face
Unusual hair growth