Nursing 213 Harmon Midterm Questions
And Answers With Complete Solutions |
New Update 2025
Primary Source Disease - ANSWER Disease is caused by problem in affected
gland
Secondary Source of Disease - ANSWER Disease is caused when a primary
endocrine gland such as the pituitary is causing problems with the gland that it
regulates
Addison's Disease - ANSWER Occurs when the adrenal glands do not produce
enough of the hormones cortisol or aldosterone
Triggers for Addison's Disease - ANSWER Physical or emotional trauma triggers
immune response
S/S Addison's Disease - ANSWER Hyperpigmentation over joints, hands, feet.
Fatigue, weight loss, loss of consciousness, weakness
Diseases that can cause Addison's - ANSWER Tuberculosis, amyloidosis, fungal
infections, AIDS, metastatic cancer
Clinical manifestations of Addison's Disease - ANSWER Abdominal pain,
diarrhea, headache, orthostatic hypotension, salt craving, joint pain,
hyperpigmentation
, Complications of Addison's Disease - ANSWER Hypotension, hypoglycemia,
tachycardia, dehydration, low sodium, high potassium, fever, weakness, confusion,
severe vomiting, shock/circulatory collapse
Addisonian Crisis - ANSWER Rapid weight loss, loss of consciousness, treated
with IV steroids
Conditions co-occurring with Addison's Disease - ANSWER Type 1 diabetes,
autoimmune thyroid disease, pernicious anemia (B12 deficiency), celiac
Adrenocorticotropic hormone (ACTH) - ANSWER Stimulates adrenal cortex to
secrete glucocorticoids
ACTH Test - ANSWER First test to determine baseline levels of coritsol and
adrenocorticotropic hormone (ACTH), then IV injection of synthetic ACTH, then
levels are checked after 30 and 60 minutes. Little to no elevation in cortisol =
Addison's
Hormone therapy for Addison's Disease - ANSWER Hydrocortisone,
fludrocortisone (Florinef), Increase during times of stress. Also increase dietary
salt intake.
Treatment Addisonian Crisis - ANSWER 1) shock management
2) high-dose hydrocortisone replacement
3) large volumes of 0.9% saline and 5% dextrose to reverse hypotension and
electrolyte imbalances
And Answers With Complete Solutions |
New Update 2025
Primary Source Disease - ANSWER Disease is caused by problem in affected
gland
Secondary Source of Disease - ANSWER Disease is caused when a primary
endocrine gland such as the pituitary is causing problems with the gland that it
regulates
Addison's Disease - ANSWER Occurs when the adrenal glands do not produce
enough of the hormones cortisol or aldosterone
Triggers for Addison's Disease - ANSWER Physical or emotional trauma triggers
immune response
S/S Addison's Disease - ANSWER Hyperpigmentation over joints, hands, feet.
Fatigue, weight loss, loss of consciousness, weakness
Diseases that can cause Addison's - ANSWER Tuberculosis, amyloidosis, fungal
infections, AIDS, metastatic cancer
Clinical manifestations of Addison's Disease - ANSWER Abdominal pain,
diarrhea, headache, orthostatic hypotension, salt craving, joint pain,
hyperpigmentation
, Complications of Addison's Disease - ANSWER Hypotension, hypoglycemia,
tachycardia, dehydration, low sodium, high potassium, fever, weakness, confusion,
severe vomiting, shock/circulatory collapse
Addisonian Crisis - ANSWER Rapid weight loss, loss of consciousness, treated
with IV steroids
Conditions co-occurring with Addison's Disease - ANSWER Type 1 diabetes,
autoimmune thyroid disease, pernicious anemia (B12 deficiency), celiac
Adrenocorticotropic hormone (ACTH) - ANSWER Stimulates adrenal cortex to
secrete glucocorticoids
ACTH Test - ANSWER First test to determine baseline levels of coritsol and
adrenocorticotropic hormone (ACTH), then IV injection of synthetic ACTH, then
levels are checked after 30 and 60 minutes. Little to no elevation in cortisol =
Addison's
Hormone therapy for Addison's Disease - ANSWER Hydrocortisone,
fludrocortisone (Florinef), Increase during times of stress. Also increase dietary
salt intake.
Treatment Addisonian Crisis - ANSWER 1) shock management
2) high-dose hydrocortisone replacement
3) large volumes of 0.9% saline and 5% dextrose to reverse hypotension and
electrolyte imbalances
