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1. Manifestations of Dark pigmented skin, hypertension, hyperkalemia, hyponatremia, muscle weak-
Addison's dis- ness, low blood glucose levels, confusion.
ease?
2. dietary education Need to increase sodium intake particularly during episodes of hot weather, limit
for patients with potassium, increase fluid intake
Addison disease?
3. Addisonian crisis Administer fluids and dextrose (D5W)
treatment?
4. contraindica- Hold live vaccines while receiving hydrocortisone
tions for a
patient with
Addison's
disease on
hydrocortisone
treatment?
5. administration of Given with food prior to 9:00 AM
hydrocortisone?
6. manifestation of Weight gain, central adiposity, Buffalo hump, hirsutism, ecchymosis, hypertension
Cushing syn-
drome?
7. dietary recom- At risk for muscle wasting and osteoporosis so include meals that have protein,
mendations for calcium, vitamin D, cheese, and milk
a patient with
Cushing syn-
drome?
8.
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, NSG223 Exam 3
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define abnormal growth of the hands, feet, and face, caused by overproduction of growth
acromegaly? hormone by the pituitary gland.
9. Define giantism? Unusual or abnormal largeness. happens when a child or adolescent has high
levels of growth hormone in their body, which causes them to grow very tall.
10. define dwarfism? Short stature that results from a genetic or medical condition. Define as an adult
height of four feet 10 inches or less
11. define panhy- A rare condition in which the pituitary gland stops making most or all hormones
popituitarism?
12. Ketoconazole Should be taken with water or an acidic beverage like fruit juice, taken with
drug card food, contraindicated because acid enhances absorption. Lowers the production
teaching points of androgen, must be given with steroid supplementation to prevent adrenal
about this drug? insufficiency, ketoconazole is an adrenal enzyme inhibitor which is used to reduce
hyperadrenalism if the syndrome is caused by ectopic ACTH secretion by a tumor
that cannot be eradicated.
13. Adrenal ablating inhibits Cytochrome P-450 enzymes which are required for the synthesis of andro-
drug? gens and steroids
14. Octreotide? Used to string pituitary tumor, given IM, intragluteal muscle
15. fluid deprivation Diabetes insipidus? the client produces large quantities of urine and is unable
test and impact to increase the urine specific gravity in osmolality, even when fluid is decrease.
on different dis- Unchanged urine osmolarity
ease process?
16. nursing manage- Closely monitor fluid balance by measuring I and O, daily weights, monitoring labs
ment of patients (doesn't need a sodium restriction diet or a desmopressin)
with SIADH in-
cluding diet pre-
cautions?
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