Adrenal dysfunction

Question 1

Addison’s disease

Answer 1

dysfunction in feedback loop, decreasing steroid production

Question 2

Risk factors for addison’s disease that is not an autoimmune cause

Answer 2

TB, histoplasmosis

Question 3

Treatment of addison’s disease

Answer 3

corticosteroids

Question 4

s/s

Answer 4

increase in potassium retention, extracellular fluid deficiency (decreasing CO), loss of glucocorticoids, hypoglycemia, muscle weakness, lethargy, anorexia, weight loss, N/V, hyperpigmentation of skin and mucous membranes

Question 5

Why does hormone replacement therapy need to be adjusted in times of stress and illness

Answer 5

there will be an increased demand on the adrenal glands, making the problem worse

Question 6

How are exogenous glucocorticoids/corticosteroids taken

Answer 6

as prescribed, with antacids or meals

Question 7

Types of exogenous glucocorticoids/corticosteroids

Answer 7

prednisone, hydrocortisone

Question 8

goal of inpatient treatment

Answer 8

increase activity tolerance, keep stress low

Question 9

What is important to Addison’s treatment

Answer 9

restoring fluid balance

Question 10

How to restore fluid balance

Answer 10

increase sodium intake and avoid hot weather