1
Q
What hallmark s/s will you see in Addisons
A
Low sodium Low sugar High K, Ca Low fluid Decr bp Wt loss
2
Q
What other s/s will you see in Addisons
A
Muscle weakness
Salt craving
Bronzing coloration of the skin
3
Q
What is the tx for Addisons
A
Give steroids
4
Q
S/s of cushings
A
High sodium High sugar Low k, ca Increase fluid Increase BP Wt gain
5
Q
Overuse of steroids can cause what
A
Cushings
6
Q
Other hallmark s/s of cushings
A
Moon face Buffalo hump Truncal obesity Skinny arms/legs (muscle atrophy) Osteoporosis Poor wound healing Immunosuppressive (from the steroids) Purple striae around abdomen
7
Q
Tx for cushings
A
Find underlying and treat
8
Q
What med is a steroid inhibitor
A
Citadil
9
Q
S/s of DI
A
Dry and salty (hypernatremic) Dehydrated (hypovolemic) Dilute urine- decr u specific gravity and osmolality Hypotension Incr hr Wt loss Hemoconcentration
10
Q
What meds are given to treat DI
A
Desmopressin
Vasopressin
11
Q
S/s of SIADH
A
Hypervolemic Hyponatremia Urine concentrated- incr specific gravity, osmo Oliguria Incr BP JVD Hemodilution
12
Q
Tx for SIADH
A
Loop diuretics
Hypertonic NS
Declomycin
Conivaptan
13
Q
What is declomycin and what is it used for
A
Antagonizes ADH in nephrons
14
Q
What is conivaptan
A
A vasopressin antagonist
15
Q
What is done for an addisonian crisis
A
Fluids Glucose IV Possibly kayexalate Steroids *** get EKG for incr k***
16
Q
Abrupt discontinuation of steroids can cause what?
A
ADDISONS
NCLEX REVIEW
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Decks in class (5)
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