cje med surg i review
Addison's ailment
absence of steroids
hypofxn of adrenal glands = reduced corticosteriods
manifestations of addison's disease
ADDSS
Added pigmentation + potassium/because of Autoimmune disease
Decreased weight (loss of water)/ as a result of Disease (i.E. Most cancers, infections, HIV, TB)
Decreased BP, glucose, hair, electricity, temp/as a result of Damage to adrenal glands
Sodium loss
Salt craving
belly cramping, frail, vulnerable
precedence assessment for addison's ailment
Addisonian crisis: severe belly ache, decrease again 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 disaster be prevented
, slowly taper off steroids, steroid dose may additionally need to be multiplied at some point of
times of pressure or in the course of surgical treatment, getting rid of organs = update hormones
(existence-long hormone alternative)
cushing syndrome
excessive amounts of steroids, chronic overexposure to corticosteroids (d2 pituitary tumor,
admin of corticosteroids)
cushing's syndrome manifestations
CUSH
Cushion = weight problems, buffalo hump, moon face
Unusual hair increase
Skin = stretch marks
High BP, sugar, weight
gradual wound healing, fractures (d2 osteoporosis), contamination
decrease extremity edema, htn, osteoporosis = compression fractures
what movements need to a nurse assume whilst receiving a cushing's pt?
Admin of fluid and medications, surgical operation, manage underlying motive (eliminate tumor,
lower steroids)
what labs and vitals are extended/reduced in cushing's
expanded = bp, bg, Na
decreased = K, Ca
capacity headaches cushing's
fractures (r/2 osteoporosis), htn, t2dm, infections, hemorrhage from surgical procedure
Causes of Cushing's Syndrome
long term steroid use, tumors, small mobile lung cancer
Addison's ailment
absence of steroids
hypofxn of adrenal glands = reduced corticosteriods
manifestations of addison's disease
ADDSS
Added pigmentation + potassium/because of Autoimmune disease
Decreased weight (loss of water)/ as a result of Disease (i.E. Most cancers, infections, HIV, TB)
Decreased BP, glucose, hair, electricity, temp/as a result of Damage to adrenal glands
Sodium loss
Salt craving
belly cramping, frail, vulnerable
precedence assessment for addison's ailment
Addisonian crisis: severe belly ache, decrease again 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 disaster be prevented
, slowly taper off steroids, steroid dose may additionally need to be multiplied at some point of
times of pressure or in the course of surgical treatment, getting rid of organs = update hormones
(existence-long hormone alternative)
cushing syndrome
excessive amounts of steroids, chronic overexposure to corticosteroids (d2 pituitary tumor,
admin of corticosteroids)
cushing's syndrome manifestations
CUSH
Cushion = weight problems, buffalo hump, moon face
Unusual hair increase
Skin = stretch marks
High BP, sugar, weight
gradual wound healing, fractures (d2 osteoporosis), contamination
decrease extremity edema, htn, osteoporosis = compression fractures
what movements need to a nurse assume whilst receiving a cushing's pt?
Admin of fluid and medications, surgical operation, manage underlying motive (eliminate tumor,
lower steroids)
what labs and vitals are extended/reduced in cushing's
expanded = bp, bg, Na
decreased = K, Ca
capacity headaches cushing's
fractures (r/2 osteoporosis), htn, t2dm, infections, hemorrhage from surgical procedure
Causes of Cushing's Syndrome
long term steroid use, tumors, small mobile lung cancer
