addison's disease

Question 1

• adrenocortical insufficiency
• ACTH levels elevated

Answer 1

addison’s disease

Question 2

s/s:
- dehydration, weakness, fatigue, wt loss, electrolyte ambnormalities
- high potassium, low sodium, low glucose
- ACTH high, cortisol low

Answer 2

addison’s disease

Question 3

• indicated for acute or chronic adrenal insufficiency
• combo mineralocorticoid and adrenal corticoid
• risk for hyperglycemia, wt gain, immunosuppression, slowed wound healing, osteoporosis, sodium retention
  = IV diluted pushed over 30sec
• must be tapered
• no live vaccines

Answer 3

hydrocortisone

Question 4

• mineralocorticoid
• used w/ other drugs
• produces sodium retention & potassium secretion
• AE: hyperglycemia, edema, HTN, wt gain, immunosuppression
• interacts w/ furosemide
• CI systemic fungal infections
• assess wt regularly

Answer 4

fludrocortisone

Question 5

• too much cortisone
  s/s:
• moon face, buffalo hump, wt gain
• cortisol suppression test –> cortisol levels will remain high

Answer 5

cushing’s disease