S/S
Classic signs of Addison's Disease
Bronze complexion/Hyperpigmentation, Changes in body hair distribution, Weakness, Weight loss, Hypoglycemia, GI Disturbances, Fatigue & Dehydration
LOW Sodium, HIGH Potassium
Parameters to monitor
What medications do you expect a client with Addison's Disease to be prescribed? What are some patient teachings related to these medications?
Hydrocortisone, Prednisone (Corticosteroids), and Fludrocortisone/Florinef (Glucocorticoid)
Patient should NEVER suddenly stop taking the prescribed dose of medication, and report signs of infection to the provider immediately.
Common risk factors for Addison's Disease
Autoimmune Destruction, Infection, Cancer, Type 1 DM, Pernicious Anemia, Grave's Disease, Thyroiditis, Vitiligo
Signs of an Addisonian crisis
Hyponatremia, Hyperkalemia, Hypotension, Hypoglycemia
Hormones affected by Addison's Disease
LOW Cortisol, HIGH ACTH, LOW Aldosterone
What are signs of excessive drug effect in a client with Addison's Disease?
Rapid weight gain, round "Moon Face", fluid retention
What do you expect to be administered when a client is experiencing an Addisonian crisis?
IV 0.9% Saline with Dextrose, IV or IM corticosteroids
SECONDARY cause of Addison's Disease
Sudden cessation of long-term glucocorticoid therapy