Cushing's

Question 1

Symptoms of Cushing’s

Answer 1

Elevated BP, HR, sodium, glucose
Hirsutism
Buffalo Hump
Truncal obesity
Weight gain
Dependent edema
Altered Emotional State (irritability, depression)
Slow wound healing, thin frail skin
Striae on extremities (purplish)

Hypokalemia
Thinning balding hair
Decreased libido

Question 2

Medication Treatment for Cushing’s

Answer 2

Ketoconazole (corticosteroid)

Take in the morning w/ food to reduce gastric irritation

Question 3

What should be done when discontinuing therapy for Cushing’s?

Answer 3

TAPER Gradually, do not suddenly d/c

Question 4

What should you monitor the patient with Cushing’s for?

Answer 4

Hypovolemia: (Monitoring daily weights, Intake and outputs, Lung sounds)
Glucose
VS
Monitor for infection (use neutropenic precautions)
Assess for thromboembolism

Question 5

What is the diet for a patient with Cushing’s?

Answer 5

High protein, calcium and Vitamin D

Low calorie, low fat, low sodium, consistent carbs (glucose)

Question 6

What type of environment should be maintained with a patient with Cushing’s?

Answer 6

Maintain a low stimulation environment.

Question 7

Patient education for Cushing’s

Answer 7

Teach about steroid use and to monitor for side effects
Avoid exposure to extreme temperature, infection , and stress
Wear medical alert bracelet
Report weight gain > 2lb/day or 3lb/week
Report epigastric pain