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Cushing Syndrome
Excess adrenocorticoid activity
| Question | Answer |
|---|---|
| What is Cushing Syndrome? | Excess adrenocorticoid activity-hypersecretion of glucocorticoids from the adrenal cortex. |
| What might cause Cushing syndrome? | Excess adrenocorticoid activity, adrenal, pituitary, or hypothalamus tumors. |
| Name s/s of Cushing syndrome. | Moon face,truncal obesity,dowager’s hume,striae on abdomen,muscle atrophy,thinning skin,hirsutism in female,hyperpigmentation,EDEMA,POORWOUND HEALING, EASY BRUISING,HTN,SUSCEPTIBILITY TO MULTIPLE INFECTIONS,OSTEOPORAOSIS,PEPTIC ULCERS |
| What are some common lab findings with Cushing Syndrome? | Hyperglycemia,hypernatremia,hypokalemia,decreased eosinophils and lymphocytes,increased plasma cortisol,increased urinary 17-hydroxycorticoids. |
| What are some nursing diagnoses for Cushing’s Syndrome? | excess fluid vol. r/t,risk for infection r/t,disturbed body image r/t. |
| Discuss nursing plans/interventions for Cushing’s Syndrome. | Protection from infection,wash hands,monitor for signs of infection(fever,oralCandida sp.,vaginalyeastinfections,adventitious lungs,skin lesion,elevated WBCs),good skin and perineal care, discuss weaningfrom steroids,I&Os,dailywt.PROVIDE ULCER PROPHYLAXIS |
| What safety measures may be initiated/taught for pt with Cushing’s syndrome? | Bed close to floor,call light close,use side rails,clear walkways,wear shoes when ambulating. |
| What diet is good for Cushing’s syndrome? | Low-sodium, foods containing Vit D and calcium. |
| What teaching should be done by RN to pt on steroids? | Take steroids with meals to prevent GI irritation. Never skip doses. If N/V for longer than 12-24 hrs,contact dr. |
| What does cortisol do? | F/E balance, metabolism of glucose and protein,suppression of inflammatory response to trauma,protective immune response to invasion of infectious agents, resistance to stress |
| What do mineral corticoids do? | Electrolyte balance by promoting sodium retention and K+ secretion. |
| What is the difference between Cushing’s disease and Cushing’s syndrome? | Disease –abnormally increased secretion (endogenous) of cortisol,caused by increased amounts of ACTH: syndrome-chronic and excessive production of cortisol or the administration of glucocorticoids in large doses for several wks or longer. |