CJE MED SURG I Questions And Verified Correct
Answers
Addison’s disease
absence of steroids
hypofxn of adrenal glands = decreased corticosteroids
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’s syndrome
excessive amounts of steroids, chronic overexposure to corticosteroids (d2 pituitary tumor,
admin of corticosteroids)
Answers
Addison’s disease
absence of steroids
hypofxn of adrenal glands = decreased corticosteroids
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’s syndrome
excessive amounts of steroids, chronic overexposure to corticosteroids (d2 pituitary tumor,
admin of corticosteroids)
