cje med surg i review questions with answers

cje med surg i review questions with answers
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1.addison's disease: absence of steroids \| \| \| \|



hypofxn of adrenal glands = decreased corticosteriods
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2.manifestations of addison's disease: ADDSS \| \| \| \|




Added pigmentation + potassium/caused by Autoimmune disorder
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Decreased weight (loss of water)/ caused by Disease (i.e. cancer,
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infections, HIV, TB) \| \|




Decreased BP, glucose, hair, energy, temp/caused by Damage to adrenal
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glands Sodium loss
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Salt craving
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abdominal cramping, frail, weak \| \| \|



3.priority assessment for addison's disease: Addisonian crisis: severe
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abdom- inal pain, lower back pain, hypotension, tachy, weakness,
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hyperkalemia, hypo- glycemia, hyponatremia \| \| \|



4.acute addisonian crisis priority interventions....: administer steroids iv
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push ("-sone")
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initiate iv and admin large vol of saline sol (for hypotension, f/e
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imbalance, hypo- glycemia) \| \|




vitals (BLOOD PRESSURE)
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, 5.how can addisonian crisis be prevented: slowly taper off steroids, steroid
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dose may need to be increased during times of stress or during surgery,
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removing organs \|



= replace hormones (life-long hormone replacement)
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6.cushing syndrome: excessive amounts of steroids, chronic xposure
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to
overe corticosteroids (d2 pituitary tumor, admin of
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corticosteroids)



7.cushing's syndrome manifestations: CUSH \| \| \|




Cushion = obesity, buffalo hump, moon face
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Unusual hair growth \| \|



Skin = stretch \| \| \|



marks High BP, sugar, \| \| \|



\| weight




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