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In this disease the adrenal cortex function is inadequate
What is Addison's Disease?
Education for Addison's disease:
-Stay out of heat, wear a medical bracelet, emergency kit that includes sterioids and a syringe, monitor weight, avoid stress, diet needs to be high in carbs, protein, and sodium
What are the labs for hyperthyroidism?
TSH is low while T3 and T4 are high, and a possible goiter.
This medication replaces deficient thyroid hormone and must be taken consistently on an empty stomach to ensure proper absorption.
What is levothyroxine (synthroid) ?
hair loss, dry brittle nails, cold intolerance, constipation, weight gain, anemia, flat affect, puffy face/tongue. What do these s/s indicate?
hypothyroidism
How do you diagnose Addison's disease?
Get a baseline, draw cortisol levels and ACTH. Then you would give synthetic ACTH, at 30 mins and at 60 mins you will repeat the labs. All of this would be done in the morning. If it is Addison's disease the ACTH will be high and very low or NO cortisol levels.
______ Gland secretes ACTH and TSH
Pituitary Gland
What causes a thyroid storm? Name some symptoms.
Caused by major stressor or is a euthyroid state was not reached prior to surgery. Untreated is nearly always fatal. Severe tachycardia, hyperthermia, worse tremors.
This IV medication is essential in managing both Addisonian crisis and thyroid storm due to its role in supporting adrenal function and stress response.
What is IV hydrocortisone?
This class of hormones is essential for stress response and metabolic function, including increasing blood sugar, supporting blood pressure, and working alongside aldosterone to regulate sodium, water, and potassium balance.
What are glucocorticoids (cortisol)?
What can cause an Addisonian Crisis?
Sudden withdrawl of steroid medication or exposure to stress.
This secretes cortisol
What is the adrenal cortex
This secrets T3 and T4
what is the thyroid
hypothyroidism
These clinical manifestations—including hypotension, hypoglycemia, hyponatremia, hyperkalemia, chronic dehydration, and skin bronzing—are characteristic findings of this endocrine disorder.
What is Addison's Disease?
What is the main goal with Addison's Disease?
Perfusion
A patient presents with increased sympathetic stimulation, including tachycardia, anxiety, tremors, and intolerance to heat, along with protrusion of the eyes—this condition is commonly associated with this autoimmune disease.
What is graves disease (hyperthyroidism)
This class of medications is used to manage the cardiovascular effects of hyperthyroidism, including tachycardia, palpitations, tremors, and anxiety. Give me names, not just the drug class.
What are beta blockers/ propranolol/ Inderal
These iodine solutions are administered prior to thyroid surgery to decrease thyroid gland vascularity and reduce the risk of bleeding during the procedure.
What are Lugol’s solution or SSKI?
These antithyroid medications are used for daily management of hyperthyroidism by suppressing thyroid hormone production.
What are methimazole (Tapazole) and propylthiouracil (PTU)?
This lifelong medication therapy replaces deficient cortisol, must be taken daily with higher doses in the morning, and increased during periods of stress or illness.
What are corticosteroids (hydrocortisone or prednisone)?
This treatment for hyperthyroidism involves administration of a radioactive substance that is absorbed by the thyroid gland and gradually destroys overactive thyroid tissue within 6–8 weeks.
What is radioactive iodine therapy (I-131)?
A patient reports numbness and tingling in the fingers after thyroid surgery—this indicates the need for immediate administration of this medication.
What is calcium gluconate?
Thyroidectomy post op care:
-Semi-fowlers position, assess neck (bleeding), trach kit/suction at bedside, turning/deep breathing, incentive spirometry, assess the voice by asking questions
This surgical intervention is used to treat hyperthyroidism when other treatments are ineffective, but requires careful preservation of surrounding structures since the entire gland cannot be removed.
What is a thyroidectomy?