UNIT 9 Mineralocorticoid CHAPTER 49

Question 1

Mineral + Addison’s disease

Question 2

FLUDROCCORTISONE

Answer 2

ORAL MINERALOCORTICOID (ALDOSTERONE) FLUDROCORTISINE
* USE
* ADRENOCORTICAL INSUFFICIENCY
* ADDISON’S DISEASE
* ACTION
* REPLACES ALDOSTERONE
* INCREASES WATER AND SODIUM RETENTION
* EXCRETES POTASSIUM
* CONTROLLED BY RENIN-ANGIOTENSIN SYSTEM

Question 3

drug of choice Fludrocortisone

Answer 3

ASSESSMENT
 BASELINE VITAL SIGNS
 LABS
 SODIUM, POTASSIUM, BLOOD GLUCOSE
 WEIGHT
 URINE OUTPUT
 MEDICAL/MEDICATION HISTORY
 GLAUCOMA, CATARACTS, PEPTIC ULCER, PSYCH
ISSUES, DM
NURSING PROCESS:
GLUCOCORTICOIDS
MINERAL CORTICOSTEROIDS

TEACHING
* DO NOT STOP ABRUPTLY – MUST BE WEANED OFF OF
MEDICATION
* TEACH TO S/S OF HYPOKALEMIA
* WEIGH SELF
* REPORT TO OTHER HEALTH CARE PROVIDERS ABOUT USE
* STAY AWAY FROM PEOPLE WHO ARE SICK
* TEACH TO SIDE EFFECTS
* MOON FACE, PUFFY EYELIDS, EDEMA IN FEET, BRUISING,
DIZZINESS, BLEEDING, MENSTRUAL IRREGULARITY
* TAKE WITH FOOD
* INCREASE POTASSIUM IN DIET
NURSING PROCESS:
GLUCOCORTICOIDS
MINERAL CORTICOSTEROIDS

Answer 4

• MINERALOCORTICOIDS (ALDOSTERONE)
• PROMOTES SODIUM AND WATER RETENTION,
  POTASSIUM EXCRETION
• CONTROLLED BY RENIN-ANGIOTENSIN SYSTEM
  ADRENAL GLANDS