Adrenal insufficiency Flashcards
1
Q
Pathophysiology
A
Reduced Aldosterone, Cortisol , Androgens
2
Q
Causes
A
Primary - Addison’s (Adrenal)
Secondary - Pituitary tumour
Tertiary - Steroid withdrawal
3
Q
Investigations
A
Short Synacthen test - Cortisol should double
Serum cortisol
Give ACTH
Serum cortisol 30 min
Serum cortisol 60 min
Serum ACTH
High in primary, Low in secondary
4
Q
Labs
A
Hyponatremia
Hyperkalaemia
Acidosis
5
Q
Symptoms
A
Weakness
Fatigue
Hyperpigmentation if Addison’s - Creases, Lips, Buccal Mucosa
Craving Salt
Thirst
6
Q
Adrenal crisis signs
A
Hyponatraemia
Hypotensive
Decreased consciousness
7
Q
Adrenal crisis triggers
A
Infection
Trauma
8
Q
Treatment
A
Fludrocortisone, Hydrocortisone
Steroid card/ ID Tag
Educate how to administer IM Hydrocortisone
9
Q
Crisis Treatment
A
IV Fluids
IV Hydrocortisone
Correct BM/K/Na
