ATI endocrine Flashcards
what structure produces cortisol ?
adrenal cortex
what regulates cortisol production by releasing ACTH ?
pituitary gland
what is cortisol ?
a steroid hormone known as stress hormone
what does cortisol help the body do ?
helps the body deal with stress such as illness or injury by increasing blood glucose though glucose metabolism, breaking down fats, proteins, and carbs, and regulating electrolytes.
what is a cause of adrenal crisis ?
damage to the adrenal cortex
what is an adrenalectomy ?
removal of adrenal gland
what must patient taking orally if they have an adrenalectomy ?
cortisol
if the patient doesn’t take cortisol what can happen or doesn’t take enough ?
adrenal crisis
what also can be a cause of adrenal crisis due to he pituitary gland isn’t producing enough ?
ACTH
will patient with addisons crisis have hypotension ?
yes
where is pain ?
stomach, back, and legs
will the patient have syncope ?
yes
Will the patient experience shock ?
yes
what should you administer STAT ?
cortisol
what is the most prescribe IV solution of cortisol ?
hydrocortisone
what should you start on orally ?
glucocorticoids and mineralocorticoid
what should you educate the patient on for steroids ?
[need to increase dosage if stressed
take medication as prescribed
don’t stop anrubpty
what do you use to replace aldosterone ?
fludcortisone
what should you educate patient on fludcortisone ?
consume enough salt
what should electrolyte levels should you monitor and what should you ensure ?
sodium, potassium, and glucose and clean environment to prevent infection
