ADDISON'S DISEASE Flashcards
Addison’s disease is decrease in what hormone?
ACTH/Adrenocortical hormone
what are the 3S that is decreases in ACTH
Sugar
Salt
Sex
Gender incidence
Female
Causes of addison’s disease
TAPA
TB
Autoimmune
PGT/Pituitary gland tumor
AIDS
Concept of addison’s disease
” Everything is low except potassium calcium and PR “
Initial manifestation of addison’s disease
Fatigue (low and slow)
Late sign of Addison’s disease
Muscle weakness
Other signs and symptoms of addison’s disease
Hypotension
Hypoglycemia
Hyperkalemia
Weight loss
Weak pulse
Anorexia
Bronze pigmentation of skin
Decreased ability to cope up stress
Emotional changes
Nursing interventions for Addison’s disease
MMMEAT
Monitor I and O
Monitor cardiovascular status
Monitor weight daily
Encourage oral fluid intake (3- 4l / day)
Assess for signs of dehydration
Teach to sit and stand slowly
Recommended diet for addison’s disease
Low potassium
Low calcium
High salt
High carbohydrates
Nursing responsibilities when the patient is taking steroids
Vital signs 4x a day
Monitor urine and blood glucose levels and urine ketones
Monitor electrolyte levels
When do you administer steroids
Every after meals (to avoid GI irritation)
How many dose of steroid will be administered in morning and afternoon
2/3 in AM and 1/3 in PM
Most people will need to take steroid for
The rest of their lives
Side effects of steroid
Immuresuppressant
Increase protein metabolism
Poor would healing
Easy bruising, thinning of skin
What are the 4H on the side effect of steroid
Hypertension
Hyperglycemia
Hypocalcemia
Hypokalemia
Altered fat metabolism in Addison’s disease are
Truncal obesity
This arms and legs
Buffalo hump
Moon face
Contraindication of corticosteroid
Psychosis and fungal infection
Why you need to be cautious in giving corticosteroid in patient with diabetes mellitus
Hyperglycemia may occur
Why does the patient cannot take aspirin and NSAIDs together with corticosteroid
It will increased risk for GI bleeding and ulcerations
Medications that can decreased the absorption of corticosteroid
Phenytoin
Rifampin
Barbiturates
Masks the s/s of _________, so they should be
used with caution in clients with infection
Infection
FBEQ: signs and symptoms of Addison’s disease
Hirsutism
Easy bruising
Altered fat metabolism
Acne
Mood swings
