ETIOLOGY AND PATHOPHYSIOLOGY
MANIFESTATIONS
COMPLICATIONS
DIAGNOSTICS
NURSING MANAGEMENT AND INTERVENTIONS
100

WHAT ARE THE THREE CLASSES OF ADRENAL CORTICOSTEROIDS

MINERALOCORTICOIDS, GLUCOCORTICOIDS, ANDROGENS

100

T/F: PATIENTS WITH ADDISON'S DISEASE WILL EXPERIENCE WEIGHT GAIN AND STRIAE 

FALSE; THAT IS SEEN IN CUSHING SYNDROME

100

WHAT IS A MAJOR RISK OF ABRUPTLY STOPPING HORMONE THERAPY IN ADDISON'S DISEASE

ADDISONIAN CRISIS

100

WHAT IS THE MOST COMMON DIAGNOSTIC TEST FOR ADDISON'S DISEASE

ACTH STIMULATION TEST

100

WHAT IS THE TREATMENT GOAL FOR A PATIENT WITH ADDISON'S DISEASE

FLUID & ELECTROLYTE, AND HORMONE REPLACEMENT 

200

WHAT ARE THE MAIN HORMONES AFFECTED BY ADDISON'S DISEASE?

CORTISOL AND ALDOSTERONE

200

WHICH ELECTROLYTE IMBALANCES ARE COMMON IN ADDISON'S DISEASE

HYPONATREMIA, HYPERKALEMIA, HYPOGLYCEMIA

200

WHAT ARE THREE TRIGGERS OF ADDISONIAN CRISIS

STRESS, INFECTION, TRAUMA, SURGERY, ABRUPT WITHDRAWAL OF CORTICOSTEROID THERAPY

200

WHAT IS THE EXPECTED RESULTS OF THE ACTH STIMULATION TEST FOR A PATIENT WITH ADDISON'S 

HIGH ACTH, WITH LITTLE TO NO INCREASE IN CORTISOL

200

WHY DO WE GIVE LARGE VOLUMES OF IV FLUID? 

To reverse hypotension and electrolyte imbalances until BP returns to normal. 



300

WHAT OTHER AUTOIMMUNE DISORDERS DO PATIENTS WITH AUTOIMMUNE ADRENALITIS HAVE? 

TYPE 1 DIABETES, AUTOIMMUNE THYROID DISEASE, PERNICIOUS ANEMIA, CELIAC DISEASE

300

WHERE IS THE HYPERPIGMENTAION USUALLY FOUND ON THE BODY

sun-exposed areas of the body, at pressure points, over joints, and in the creases, especially palmar creases.



300

WHAT IS THE GOAL OF ADDISONIAN CRISIS TREATMENT

FLUID AND CORTISOL REPLACEMENT

300

IN ADDITION TO THE ACTH STIMULATION TEST, WHICH DIAGNOSTIC IMAGING CAN HELP IDENTIFY ADRENAL ABNORMALITIES IN ADDISON'S

CT SCAN AND MRI

300

T/F: WOMEN WITH ADDISON'S DISEASE WILL NEED ANDROGEN REPLACEMENT

TRUE

400

WHAT IS IT CALLED WHEN ADDISON'S DISEASE PRESENTS WITH OTHER ENDOCRINE PROBLEMS

AUTOIMMUNE POLYGLANDER SYNDROME

400

HOW DOES ADDISON'S DISEASE AFFECT BLOOD PRESSURE?

Severe lack of cortisol can cause life-threatening low blood pressure

400

WHEN IS 5% DEXTROSE IN NS SOLUTION PREFERRED

IN HYPOGLYCEMIC PATIENTS 

400

WHY WOULD A PATIENT WITH ADDISON'S DISEASE BE HYPOGLYCEMIC?

Addison's disease is characterized by a deficiency of glucocorticoids, including cortisol, which can lead to decreased glucose production in the liver and decreased glucose uptake in peripheral tissues. 



400

WHAT IS THE EXPECTED DIET FOR PATIENTS WITH ADDISON'S DISEASE? 

HIGH PROTEIN, CARB AND SODIUM DIET

500

WHAT ARE THE OTHER CAUSES OF ADDISON'S DISEASE

tuberculosis, amyloidosis, fungal infections, AIDS, metastatic cancer. 

500

WHY DO PATIENTS WITH SECONDARY ADRENOCORTICAL HYPOFUNCTION NOT EXPERIENCE HYPERPIGMENTATION? 

ACTH levels are low.

500

DURING ADDISONIAN CRISIS, WHICH TREATMENT IS COMMONLY ADMINISTERED?

HIGH-DOSE HYDROCORTISONE

500

WHAT WOULD THE EKG SHOW OF A PATIENT WITH ADDISON'S DISEASE AND WHAT ELECTROLYTE AFFECTS IT?

low voltage and peaked T waves; potassium

500

T/F: A PATIENT WITH ADDISON'S DISEASE WILL NEED TO INCREASE THEIR CORTICOSTERID DOSE IN STRESSFUL SITUATIONS

TRUE

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