Cushing's

Question 1

Cushing’s Disease(High)

Answer 1

Over secretion of cortisol
caused by problem with adrenal gland, anterior pituitary or hypothalamus
Leading to increased levels cortisol which have profound effects on body metabolism

Question 2

Causes

Answer 2

Cancer
Pituitary adenoma
Bilateral adrenal hyperplasia
Women are more likely than men

Question 3

Treatment

Answer 3

Monitor intake and output
Medication that interferse with ACTH production
Restrict fluid and sodium
radiation therapy for tumors

Question 4

Nursing intervention

Answer 4

Low sodium diet
Teaching about increasing dietary potassium
Daily weights
Fluid balance

Question 5

manifestations

Answer 5

Sleep disturbances
Muscle wasting
Adrenal tumor
Hypertension
Purple Striae
Trunchal Obesity “buffalo hump”
Osteoporosis

Question 6

Tests

Answer 6

Cortisol level
24 urine cortisol
Dexamethosone suppression test
Potassium and Calcium levels

Question 7

Electrolytes

Answer 7

Hypokalemia
Hypernatremia
High Bicarbonate

Question 8

Medication

Answer 8

Metopirone
Chemotherapy for tumor