Scribd Logo
Upload

Welcome to Scribd!

  • 13 views

    Addison and Cushing

    Uploaded by

    Koby R. Lapidario
    Addisonian crisis can result in death and is characterized by cyanosis and signs of circulatory shock like pallor, rapid and weak pulse, rapid breathing, and low blood pressure. Others symptoms include headache, nausea, abdominal pain, diarrhea, confusion, and restlessness. Management includes assessing for signs of shock, avoiding stressors, providing IV fluids and electrolytes like sodium, replacing steroid hormones, and using vasopressors. Symptoms must be monitored including lab values, weight, and blood glucose.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Addison and Cushing

    Uploaded by

    Koby R. Lapidario
    13 views2 pages
    Addisonian crisis can result in death and is characterized by cyanosis and signs of circulatory shock like pallor, rapid and weak pulse, rapid breathing, and low blood pressure. Others symptoms include headache, nausea, abdominal pain, diarrhea, confusion, and restlessness. Management includes assessing for signs of shock, avoiding stressors, providing IV fluids and electrolytes like sodium, replacing steroid hormones, and using vasopressors. Symptoms must be monitored including lab values, weight, and blood glucose.

    Original Title

    addison and cushing

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Addisonian crisis can result in death and is characterized by cyanosis and signs of circulatory shock like pallor, rapid and weak pulse, rapid breathing, and low blood pressure. Others symptoms include headache, nausea, abdominal pain, diarrhea, confusion, and restlessness. Management includes assessing for signs of shock, avoiding stressors, providing IV fluids and electrolytes like sodium, replacing steroid hormones, and using vasopressors. Symptoms must be monitored including lab values, weight, and blood glucose.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    13 views2 pages

    Addison and Cushing

    Uploaded by

    Koby R. Lapidario
    Addisonian crisis can result in death and is characterized by cyanosis and signs of circulatory shock like pallor, rapid and weak pulse, rapid breathing, and low blood pressure. Others symptoms include headache, nausea, abdominal pain, diarrhea, confusion, and restlessness. Management includes assessing for signs of shock, avoiding stressors, providing IV fluids and electrolytes like sodium, replacing steroid hormones, and using vasopressors. Symptoms must be monitored including lab values, weight, and blood glucose.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Addisonian crisis

    Can result to death

    Characterize by cyanosis, signs of circulatory shock: pallor, apprehension, rapid and weak pulse, rapid
    respirations, and low blood pressure. Others: headache, nausea, abdominal pain, diarrhea, confusion,
    and restlessness

    Management

    Assess for signs and symptoms of shock

    Avoid physical and psychological stressors (cold exposure, over exertion, infection, and emotional
    distress)

    Provide treatment (IV fluids, glucose and electrolytes esp. sodium. Replace steroid hormones and
    administer vasopresors

    Monitor for adverse effects of adrenocortical activity (f&E lab values, daily weight, blood glucose, report
    blood glucose elevation)

    CUSHING’S Syndrome

    - Excessive adrenocortical activity

    Causes:

    Use of corticosteroids

    Primary hyperplasia of adrenal glands

    Ectopic production of ACTH

    Adrenal cortex

    - Releases steroid hormones (aldosterone (mineralocorticoid), Cortisol (glucocorticoid), Androgen


    (sex hormone))

    Aldosterone

    - Regulates blood pressure through renin-angiotensin-aldosterone system


    - Retaining sodium
    - Secretes potassium

    Cortisol

    - Stress hormone
    - Helps body to deal with stress
    - Increases blood glucose
    - Breaks don fats, protein, carbs
    - Regulates electrolytes

    Negative feedback

    Hypothalamus = CRH -> Pituiary = ACTH -> Adrenal cortex = Cortisol

    Cushing – Cortisol increased

    Nursing intervention

    Addisons - decreased Cortisol and Aldosterone

    FORMATIVE ACTIVITY

    19. Addison's disease decreases the production of all adrenal hormones, compromising the
    body's normal stress response and increasing the risk of infection. 

    You might also like