Endocrine: Cushing's Disease, Aldosterone effects, and Adrenal gland Functions Flashcards

1
Q

Teaching for Cushing’s

How often to weigh?

A

Daily and show provider your weight record

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2
Q

Teaching for Cushing’s

When to call healthcare provider about weight?

A

-If more than 3 lbs gained in a week OR

More than 1-2 lbs in 24 hr period

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3
Q

Teaching for Cushing’s

How to protect from infection?

A
  • Proper hygiene
  • Avoid crowds
  • Avoid others with infection
  • All ppl living in the same home need yearly flu vaccine
  • Immediately notify MD if fever/indication of infection
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4
Q

Teaching for Cushing’s

When to take meds?

A

As prescribed

Stay on schedule

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5
Q

Teaching for Cushing’s

Need for med. alert bracelet?

A

Yes

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6
Q

Aldosterone effects? actions?

A

Effects: Renal tuubules

Retain Na and excrete K

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7
Q

Adrenal gland functions

What does the adrenal cortex do?

A
  • Glucocorticoids that targets all body cells and increases glyconeogenesis
  • Mineralocorticoids that target renal tubules and retain Na and excrete K
  • Androgens that target facial, pectoral hair, and vocal cords and stimulates secondary sex traits
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8
Q

Adrenal gland functions–Adrenal CORTEX

What are the 3 hormones?

A
  • Glucorticoids (cortisol)
  • Mineralocorticoids (aldosterone)
  • Androgen
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9
Q

Adrenal gland functions-Function of GLUCORTICOIDS

Prevent hypoglycemia by doing what?

A

Increasing liver gluconeogenesis and inhibiting peripheral glucose use

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10
Q

Adrenal gland functions-Function of GLUCORTICOIDS

Maintains excitability and responsiveness of ____

A

Cardiac muscle

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11
Q

Adrenal gland functions-Function of GLUCORTICOIDS

Increase what?

A

Lipolysis, releasing glycerol and free FA

Protein catabolism

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12
Q

Adrenal gland functions-Function of GLUCORTICOIDS

Degrade what?

A

Collagen and CT

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13
Q

Adrenal gland functions-Function of GLUCORTICOIDS

Increase the number of ____ released from bone marrow

A

Mature neutrophils

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14
Q

Adrenal gland functions-Function of GLUCORTICOIDS

Exert _____ effects that decrease the migration of inflammatory cells to site of injury

A

Anti-inflammatory effects

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15
Q

Adrenal gland functions-Function of GLUCORTICOIDS

Maintain __ and ___ functions

A

Behavior and cognition functions

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16
Q

Someone with a primary adrenal cortex dysfunction would need to be monitored closely for patients _____

A

Physiologic response to stress

17
Q

What are the hormones associated with the adrenal medulla?

A

Fight or flight–epinephrine and norepinephrine

18
Q

Adrenal medulla-Epinephrine

Targets?
Action?

A

Targets: Heart and smooth muscle, arterioles

Action: Increase HR, muscle contraction, vasoconstriction, and glycogenolysis

19
Q

Adrenal medulla-Norepinephrine

Targets?
Action?

A

Targets: BV

Action: Vasoconstriction