Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Med Surg > Adrenal Disorders > Flashcards

Adrenal Disorders Flashcards

1
Q

Cortisol

A

Manages inflammatory/glucose production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Aldosterone

A

Regulate BP and Fluid imbalance - RAAS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Deficiency of adrenal hormones

A

Addison’s Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Excess of adrenal hormones

A

Cushing’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Epi and Norepi work on what VS?

A

BP, HR, RR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Adrenal cortex secretes what hormones

A

Cortisol and aldosterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What autonomic nervous system is impacted by adrenal hormones?

A

Adrenergic

Adrenergic receptors - alphas, betas > lungs and heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Clinical manifestation: Decrease BS production by liver

A

Hypoglycemia - Addison’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Clinical manifestation: Slowed inflammatory response

A

Susceptible to infection

Signs of infection - Addison’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Clinical manifestation: Decreased protein and fat metabolism

A

Difficulty maintaining muscle mass - Addison’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Clinical manifestation: decrease appetite

A

Difficulty maintaining healthy weight - Addison’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Addison’s disease the BP will be:

A

Low: Hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Addison’s disease: Electrolyte imbalances

A

Hypovolemia
Hyponatremia
Hyperkalemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What labs do you want to look at for Addison’s disease

A

BMP

Cortisol levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pt. with addison’s disease just got admitted to the unit. What can the nurse expect for orders for this pt.?

A 
ADD, ADD, ADD
Add fluids
Add corticosteroids
Add salt
Subtract K+
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What kind of diet can a pt. with Addison’s eat?

A

Regular - healthy high calorie foods, ADD Na+

17
Q

How should a pt. taking aa corticosteroid take their meds?

a. ) in AM with milk
b. ) In PM with food
c. ) in AM with food
d. ) in PM with NSAID

A

C - In AM with food

18
Q

What meal will the nurse question the pt. with Addison’s having?

a. ) Steak with green beans
b. ) Avocado toast with hashbrowns
c. ) Frozen pizza
d. ) Canned spegettios

A

B - Avocado toast with hashbrowns
Avacodos, potatoes, tomatoes, green leafy veggies, bananas, citrus all contain K+ and you want to restrict K+ in a pt. with Addison’s

19
Q

What should the nurse teach a pt. with Addison’s to carry on them at all times?

A

Emergency corticosteroid injection

Use if severe illness or injury

20
Q

What teaching should the nurse provide to a pt. with Addison’s about meals?

A

May need glucose monitor

Eat small frequent meals

21
Q

What causes Cushings’s

A

Too much steroid meds

Excess cortisol or aldosterone

22
Q

Cushing Disease

A 
CANCER!
Pituitary tumor
adrenal tumor
Lung tumor
All of these have excess excretion of ACTH
23
Q

Cushing Syndrome

A

Caused by corticosteroids

24
Q

Clinical Manifestations of Cushing’s

A 
Moon face
Buffalo hump
Thin fragile skin
Osteoporosis
Edema
High BS
High risk infection
Central body obesity with thin extremities
25
Q

What labs can the nurse expect to see in a pt. with Cushing’s

A

Hypervolemia
Hypernatremia
Hypokalemia`

26
Q

Dexamethasone Test

A

Inject the pt. w/ steroid. A normal pt. will quit making cortisol. A pt. with cushing’s will keep making cortisol result in extremely high cortisol

27
Q

What labs will the nurse want to get for a pt. with Cushing’s?

A

BMP

Cortisol levels - elevated 24 hrs/day

28
Q

What med can the nurse expect to be ordered for the pt. with cushings for fluid imbalances?

A

Spironolactone - Diuretic and keep K+ b/c low K+

29
Q

What kind of diet will a pt. with Cushing’s be on?

A

Low Na+ diet

Restrict Processed food, canned, or frozen

30
Q

Why is telemetry necessary for a pt. with Cushings?

A

Flat T waves b/c Hypokalemia

31
Q

What are major complications of Cushings?

A

Severe Hypertension - Malignant HTN > 180 or 185

Severe hypokalemia

32
Q

Pt. has malignant hypertension. What is the nurse most concerned about?

A

Stroke

33
Q

What is a very high risk of severe hypokalemia?

A

Cardiac Dysrhythmias

Med Surg (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions