NUR 211 FINAL REVIEW
- What is the syndrome caused by long term use of corticosteriods?
Answer Cushing's syndrome or disease
- What are the physical characteristics of adrenal insufficiency?
Answer chronic fatigue
muscle weakness weight loss abdominal pain loss of appetite
other symptoms include- nausea, vomiting, diarrhea, orthostatic hypotension, irritability & depression, salty foods, headache, hypoglycemia, headache, sweating, irregular periods, loss of sex for women, hyper pigmentation of skin
- What is the name of the disease characterized by adrenal insufficiency?
Answer -
Addison's disease
- To prevent adrenal insufficiency what should a nurse tell a patient coming off long term
prednisone therapy do?
Answer Slowly taper down dose
- What is the most common cause of adrenocortical insufficiency?
Answer therapeutic use of corticosteriods
- To avoid addisonian crisis, when does a patient need to take supplemental
glucocorticosteriods?
Answer physical trauma, dehydration, psychosocial stress, and before surgery 1 / 2
- What are the signs and symptoms of addisonian crisis?
Answer sudden, sever pain in the lower back, abdomen, or legs
severe vomiting or diarrhea dehydration hypotension LOC
CAN CAUSE DEATH
- What vital task does cortisol perform in the body?
Answer maintains BP and cardio- vascular function
reduces the immune inflammatory response balancing the effects of insulin regulates the metabolism of proteins, carbohydrates, and fats
- What should a patient with cushing's disease add to their diet to combat muscle wasting?
Answer high levels of protein
- What are all of the adrenal hormones?
Answer Adrenal hormone dehydroepiandosterone (DHEA)
Glucocorticoid (cortisol) Mineralcorticoid (aldosterone)
- What does DHEA (Adrenal hormone dehydroepiandosterone) do?
Answer makes androgens and estrogens, the male and female sex hormones
- What does glucocorticoid (cortisol) do?
- / 2
Answer maintains BP and cardiovascular function