Addison Disease Flashcards
What happens in Addison disease (hormone) ?
Adrenocortical insufficiency from lack of ATCH
Addis disease
4 chronic causes
3 acute
Autoimmune, idiopathic, histoplasmosis, TB
Sudden D.C. Steroid, infection or remove adrenal glands
Disease vs crisis s/s?
Disease develops slow
Signs and symptoms add disease 5
Look like and lab
Fatigue Hyper pigmentation Changes in mental- depression Dehydration- loss na and water BP- hypotension
Diagnosis of add disease/ crisis
7
labs , test
Adrenocortical- serum levels in AM BG less than 50 NA less 130 K- more 5 Bun/creatinine/hct Chloride less than 90 WBC- elevated
Treatment of Addison
4 donts results in what 2
Overexertion, exposure cold, acute infection,decrease salt intake lead to shock or death
Treatment of Addison
5
meds/care
Abtx if infected Increase PO NA intaks Life long replacement Total rest- non stress Monitor cardiac and fluid balance
Hormone replacement
When to increase 4
Stress
Infection
Trauma /surg
Emotional upset
Food give in add crisis 4
Na/sugar
Gatorade, tomato soup, bouillon cubes
No high in caffeine
Adrenals crisis 6 causes
Infection Trauma Na loss Hyper hydrosis Over exertion Cold exposure
Signs and symptoms 6 Addison crisis
Look like feel like
Cyanosis or pallor Fever Increase P and RR Decrease BP Confusion Abd pain
Treatment 4 add crisis
Types fluids/care
Ivf- glucose and NA bolus at first
Iv corticosteroid- life steroid replacement
Vasopressin
No activity-recumbent
Incr- Na when stress or hot
Cushing syndrome what happens
? Hormone
Who it effects
Too much ACTH- pretezone
In women too much make sex hormone men- man boobs
20-40 women 5x likely
What Cushing syndrome (signs) look like? 7
Obesity- HTN CHF Thing hair Thin extremities Buffalo jump Moon face Hirsutism No menses
Cushings
Symptoms- feel 4
Weak
Sleep disturbance
Glucose intolerance
Slow wound healing
