Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Addidons disease

what is Addison's HYPOsecretion of adrenal cortex hormones--Glucocorticoids & mineralcorticoids, fatal if left untreated
Addison's Signs/Symptoms weakness, wt loss, GI probs, HYPOtension, bronze pigmentation of skin, emotional disturbances
Addison's--Causes autoimmune TB, metastic cancer, fungal lesion, AIDS, Hemorrhage, Adrenalectomy, abd radiation therapy (abd, head), drugs (mitotane) toxins
Addison's--electrolyte imbalance--Sodium & Potassium HYPOnatremia & HYPERkalemia
what causes the bronze pigmentation of the skin? increased MSH (melanlocyte-stimulating hormone)
Addison's--ACTH & MSH levels ACTH & MSH are elevated
what is the difference in primary & secondary in reference to skin? In secondary there is no change in skin pigmentation
In primary, what other labs are elevated? eosinophil count & ACTH are elevated
What is the most definitive test for adrenal insufficiency? ACTH stimulation test
ACTH stumlation test is perfomed-- on an outpatient basis
ACTH stimulation test--what is given & what is obtained? ACTH 0.25 to 1mg given IV; & cortisol levels are obtained at the 30min & 1hr intervals
ACTH stimulation test--in primary the cortisol levels are_____in secondary the cortisol levels are ______ primary cortisol levels--absent/markedly low secondary levels are increased
Addison's--imaging assessments Skull Xray, CT, MRI, & ateriography are used to determine cause of pituitary probs leading to adrenal insufficiency
Addison's--What does the CT of the adrenal gland show? CT scans of adrenal gland might show athropy gland
Nursing intervention goals-- promote fluid balance, monitor for fluid deficit, prevent hypoglycemia, daily weights, I&O, V/S q1-4hrs; monitor labs
What is given to to correct glucocorticoid deficiency? Hydrocortisone
How is hydrocortisone given? divided doses--2/3 given in the am & 1/3 in late afternoon to mimic normal release of hormone
what minercorticoid may be given & why? Florinef--may be needed to maintain electrolyte balance
What might be given PO salt
Addisonian crisis life threatening; need for cortisol & aldosterone is greater than supply
Addisonian crisis occurs in response to-- stressful events--surgery, trauma, severe infections; esp when hormone output is already reduced
Unless intervention is initiated quickly-- Sodium falls & potassium rises rapidly--more severe hypotension
Addisonian crisis--more severe hypotension results from blood volume depletion that occurs withthe loss of aldosterone
Addison's--neuromuscular manifestations muscle weakness, fatigue, joint/muscle pain
Addison's GI manifestations Anorexia, N/V, Abd pain, diarrhea/constipation, wt loss, salt craving
Addison's integumentary manifestations Vitiligo (white patches), hyperpigmentation
Addison's--cardio manifestations anemia, Hypotension, Hyponatremia, Hyperkalemia, HyperCalemia
Addison's--Sodium decreased
Addison's--Potassium Increased
Addison's--Glucose normal to decreased
Addison's--Calcium Increased
Addison's--BUN Increased
Addison's--Cortisol Decreased
Addison's--Bicarb Increased
Created by: DitziDame