1
Q
cortisol/aldosterone
A
low
2
Q
test
A
DX with ACTH stimulation test
salivary cortisol decreased
3
Q
cause
A
-adrenal gland atrophy
-autoimmune disorder
-tb
-septicemia
-AIDS
-sudden cessation of long term high dose of steroid medication
4
Q
sodium
A
decreased
5
Q
potassium
A
high
6
Q
glucose
A
low
7
Q
calcium
A
high
8
Q
stress intolerance
A
reduced
9
Q
addisonian crisis
A
-severe hypotension
-circulatory collapse
-shock
-coma
10
Q
bp
A
low
11
Q
hyperpigmentation
A
yes
12
Q
pigmentation
A
bronze
13
Q
hr
A
high tachycardia
14
Q
dehydration
A
yes
15
Q
blood volume
A
low (hypovolemia)
16
Q
depression
A
yes
17
Q
cortisol
A
low
18
Q
sodium
A
low
19
Q
potassium
A
high
20
Q
calcium
A
high
21
Q
glucose
A
low
22
Q
salt craving
A
yes - hyponatremia
23
Q
wbc
A
increased
24
Q
steroid therapy
A
hydrocortisone
fludocortisone
medication adherence a must
25
fluid intake?
yes
26
sodium intake
yes
27
potassium in diet
low
28
monitor for
-hypoglycemia
-hyperkalemia
-muscle wasting (give high protein diet)
-vital signs
29
adrenal crisis manifestation
-low bp
-low bg
-fever
-fatigue
-anorexia
-shock
-kidney failure
-pain to lower back and legs
30
adrenal crisis treatment NaCl
-0.9 NaCl
31
hyperkalemia treatment
dextrose
insulin
calcium gluconate
kyexilate
loop diuretics
32
acidosis treatment
sodium bicarbonate
33
hypotension treatment
vasopressors
34
decrease risk of infection and stress
private room, avoid raising temp stress intolerance)
exam 3
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