160 Susupected Adrenal Crisis Flashcards
What are the conditions in the ADRENAL CRISIS medical directive?
Presented with vial of hydrocortisone
Agre related: tachycardia, hypotension, hypoglycemia
Altered, syncope
GI symptoms
Fever
Which hormones are adrenocortico hormones?
Aldosterone
Cortisol
What are some causes of an adrenal crisis
GI issues
Fractures
Infection
Hypotension
Hypoglycemia
What are the routes in the ADRENAL CRISIS medical directive?
IM/ IV/ IO/ CVAD
What class of medication is hydrocortisone?
Glucocorticosteroid
How does hydrocortisone work for adrenal crisis?
Hydrocortisone has the same metabolic effect/ anti-inflammatory response and actions as cortisol
Where should hydrocortisone be administered IM?
vastus lateralis due to muscle atrophy
What are PRIMARY reasons for adrenal crisis
Adrenal cortex destruction:
autoimmune
Infection
Hormone/toxins
What are SECONDARY reasons for adrenal crisis
Adrenal Cortex Suppression:
Pituitary disease
Tumours
What other directives should be considered with the adrenal crisis directive?
Hypoglycemia
Hypokalemia
Fluid
WHERE is CRH, ACTH, and cortisol from?
Hypothalamus
Pituitary
Adrenal cortex
What hormones and releasing hormones are involved in adrenal insufficiency?
CRH
ACTH
Cortisol
Aldosterone
What is the dose for the ADRENAL CRISIS medical directive?
2mg/kg up to 100mg