160 Susupected Adrenal Crisis Flashcards

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1
Q

What are the conditions in the ADRENAL CRISIS medical directive?

A

Presented with vial of hydrocortisone

Agre related: tachycardia, hypotension, hypoglycemia
Altered, syncope
GI symptoms
Fever

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2
Q

Which hormones are adrenocortico hormones?

A

Aldosterone
Cortisol

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3
Q

What are some causes of an adrenal crisis

A

GI issues
Fractures
Infection
Hypotension
Hypoglycemia

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4
Q

What are the routes in the ADRENAL CRISIS medical directive?

A

IM/ IV/ IO/ CVAD

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5
Q

What class of medication is hydrocortisone?

A

Glucocorticosteroid

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6
Q

How does hydrocortisone work for adrenal crisis?

A

Hydrocortisone has the same metabolic effect/ anti-inflammatory response and actions as cortisol

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7
Q

Where should hydrocortisone be administered IM?

A

vastus lateralis due to muscle atrophy

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8
Q

What are PRIMARY reasons for adrenal crisis

A

Adrenal cortex destruction:
autoimmune
Infection
Hormone/toxins

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9
Q

What are SECONDARY reasons for adrenal crisis

A

Adrenal Cortex Suppression:
Pituitary disease
Tumours

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10
Q

What other directives should be considered with the adrenal crisis directive?

A

Hypoglycemia
Hypokalemia
Fluid

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11
Q

WHERE is CRH, ACTH, and cortisol from?

A

Hypothalamus
Pituitary
Adrenal cortex

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12
Q

What hormones and releasing hormones are involved in adrenal insufficiency?

A

CRH
ACTH
Cortisol
Aldosterone

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13
Q

What is the dose for the ADRENAL CRISIS medical directive?

A

2mg/kg up to 100mg

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