exam 3
Study online at https://quizlet.com/_gpdel9
1 increase ACTH level (inability of Addison's disease;
the adrenal gland is to produce cortisol to
maintain the ACTH level). Decrease blood
glucose, Increase cortisol level: potassium.
Small, Weak, tanned, Absent steroid LOW
2. ADDSS: A: Added pigmentation + potassium-
Brozene pigmentation, hyper pigmenta-
tion
Hyperlalemia Over 5.0 ( normal 3.5-5.0)
D: Decreased weight (water loss=weight
0ss), NOT Truncal obesity
D: Decreased BP, hair, sugar &energy. Fa-
tigue, alopecia, Hypoglycemia, Hypoten-
tion
S:Sodium loss 135 or less, S: Salt craving
3. Diagnostic Assessment Addison's disease -+ History and physical assessment
» ACTH stimulation test
* Serum cortisol and ACTH
» Urine cortisol and aldosterone
* CRM suppression test
* Serum electrolytes
» C'scan, MRI
4. Addison's disease Management Daily glucocorticoid (e.g., prednisone, hy-
drocortisone) replacement (two- thirds
on awakening in morning, one-third in
ate afternoon)
» Daily mineralocorticoid (fludrocorti-
sone) I morning
» ‘Salt in the diet
1/25
,Q exam 3
Study online at https://quizlet.com/_gpdel9
» Androgen replacement with deny-
droepiandrosterone (DHEA) for women
» Salt additives for excess heat or humid-
ity
» ‘Doses of glucocorticoid for stress Situ-
ations (e.q., surgery, hospitalization)
5. Cushion of Steroid HIGH ( Big, round, hairy) Cushing
6. CUSH C: Cushion: Truncal Obesity + Moon face +
Buffalo hump
U: Unusual: Hirsutism ( hairy suit)
S: Skin: Purple Striae , Buttertly mark
H: High Sugar, BP, Weigh
/. is the surgery to remove one or Parathyroidectomy
more of the parathyroid glands in the pa-
tient who has hyperparathyroidism.
8. Parathyroidectomy is the only definitive primary hyperparathyroidism
treatment for
9. has a major role in regulating calcium The parathyroid gland
levels.
10. Nursing Action for Parathyroidectomy Monitor Calcium level
1. Parathyroidectomy leads to a rapid reduction of high calcium levels.
2. Hypothyroid disorders signs: Dry, Coarse hair, Loss of eyebrow har,
Putty face, enlarged typhoid ( goiter),
Slow neart rate.
13, Hypothyroid disorders problem:
2725
, exam 3
Study online at https://quizlet.com/_gpdel9
Arthritis, cold intolerance, depression,
dry skin, fatigue, forgetfulness, infertility
muscle aches. Weight gain, Constipation,
Brittle nails
Hyperthyroid disorders signs: Hair loss, Bulging eyes, Enlarged Thyroid
(Goiter), Rapid heartbeat.
Hyperthyroid disorders problem: Sleeping disorders, infertility, heat in-
tolerance, irritability, muscle weakness,
Nervousness, scant menstrual periods.
Sweating, weight loss, frequent bowe
movement, warm, moist palms, tremors of
fingers, soft nails
Obesity: Preventable problem with excess of adi-
pOSe tissue
Obesity Risk factors: environment, genetics, inactivity, socioe-
conomics
May begin at birth, prevented by breast-
feeding in the first 6 months of life, limit
sedentary behaviors
Type 2 DM, heart disease, cancer, death
Primary obesity excess intake over energy expenditure
secondary obesity -Results from various anomalies (con-
genital; chromosomal; metabolic; CNS le-
sions/disorders
20, obesity Epidemiology 43% adults in US are obese, Black & his-
panics, lower income, less educated
3/25
Study online at https://quizlet.com/_gpdel9
1 increase ACTH level (inability of Addison's disease;
the adrenal gland is to produce cortisol to
maintain the ACTH level). Decrease blood
glucose, Increase cortisol level: potassium.
Small, Weak, tanned, Absent steroid LOW
2. ADDSS: A: Added pigmentation + potassium-
Brozene pigmentation, hyper pigmenta-
tion
Hyperlalemia Over 5.0 ( normal 3.5-5.0)
D: Decreased weight (water loss=weight
0ss), NOT Truncal obesity
D: Decreased BP, hair, sugar &energy. Fa-
tigue, alopecia, Hypoglycemia, Hypoten-
tion
S:Sodium loss 135 or less, S: Salt craving
3. Diagnostic Assessment Addison's disease -+ History and physical assessment
» ACTH stimulation test
* Serum cortisol and ACTH
» Urine cortisol and aldosterone
* CRM suppression test
* Serum electrolytes
» C'scan, MRI
4. Addison's disease Management Daily glucocorticoid (e.g., prednisone, hy-
drocortisone) replacement (two- thirds
on awakening in morning, one-third in
ate afternoon)
» Daily mineralocorticoid (fludrocorti-
sone) I morning
» ‘Salt in the diet
1/25
,Q exam 3
Study online at https://quizlet.com/_gpdel9
» Androgen replacement with deny-
droepiandrosterone (DHEA) for women
» Salt additives for excess heat or humid-
ity
» ‘Doses of glucocorticoid for stress Situ-
ations (e.q., surgery, hospitalization)
5. Cushion of Steroid HIGH ( Big, round, hairy) Cushing
6. CUSH C: Cushion: Truncal Obesity + Moon face +
Buffalo hump
U: Unusual: Hirsutism ( hairy suit)
S: Skin: Purple Striae , Buttertly mark
H: High Sugar, BP, Weigh
/. is the surgery to remove one or Parathyroidectomy
more of the parathyroid glands in the pa-
tient who has hyperparathyroidism.
8. Parathyroidectomy is the only definitive primary hyperparathyroidism
treatment for
9. has a major role in regulating calcium The parathyroid gland
levels.
10. Nursing Action for Parathyroidectomy Monitor Calcium level
1. Parathyroidectomy leads to a rapid reduction of high calcium levels.
2. Hypothyroid disorders signs: Dry, Coarse hair, Loss of eyebrow har,
Putty face, enlarged typhoid ( goiter),
Slow neart rate.
13, Hypothyroid disorders problem:
2725
, exam 3
Study online at https://quizlet.com/_gpdel9
Arthritis, cold intolerance, depression,
dry skin, fatigue, forgetfulness, infertility
muscle aches. Weight gain, Constipation,
Brittle nails
Hyperthyroid disorders signs: Hair loss, Bulging eyes, Enlarged Thyroid
(Goiter), Rapid heartbeat.
Hyperthyroid disorders problem: Sleeping disorders, infertility, heat in-
tolerance, irritability, muscle weakness,
Nervousness, scant menstrual periods.
Sweating, weight loss, frequent bowe
movement, warm, moist palms, tremors of
fingers, soft nails
Obesity: Preventable problem with excess of adi-
pOSe tissue
Obesity Risk factors: environment, genetics, inactivity, socioe-
conomics
May begin at birth, prevented by breast-
feeding in the first 6 months of life, limit
sedentary behaviors
Type 2 DM, heart disease, cancer, death
Primary obesity excess intake over energy expenditure
secondary obesity -Results from various anomalies (con-
genital; chromosomal; metabolic; CNS le-
sions/disorders
20, obesity Epidemiology 43% adults in US are obese, Black & his-
panics, lower income, less educated
3/25
