Addison's disease
Cushing Syndrome/Disease
Diabetes Insipidus
SIADH
Miscellaneous
100

Primary finding of Addison's.

Adrenal insufficiency

100

Primary finding of Cushing.

Excess of corticosteroids

100

Common etiologies of DI.

head trauma, lithium 

100

Most common etiology of SIADH.

Small cell lung cancer.

100

These (3) are produced by the adrenal cortex.

glucocorticoids, mineralocorticoids, androgens 

200

Classical clinical manifestations and findings of Addison's.

copper skin pigmentation; weight loss; dehydration; orthostatic hypotension; HYPOnatremia; HYPERkalemia; nausea and vomiting; hypoglycemia; weakness.

200

Classic clinical manifestations and findings of Cushing. 

Full, round face; truncal ob*sity; hyperglycemia; dark stretch marks; bruising; delayed wound healing; osteoporosis; edema, etc.

200

Clinical manifestations and findings of DI. 

high UO; low SG (very dilute urine); high serum osmolality (concentrated); HYPERnatremia; hypotension; tachycardia; poor skin turgor; dry mucous membranes.

200

Clinical manifestations and findings of SIADH. 

decreased UO; edema and weight gain; high BP; high urine SG (concentrated); low serum osmolality (dilute); HYPOnatremia

200

Differentiate between Cushing syndrome and Cushing disease. 

Cushing disease is a specific type of Cushing syndrome, caused by ACTH-producing tumor on the pituitary. 

Cushing syndrome describes the set of symptoms that accompany excess cortisol.

300

Nursing and collaborative care of Addison's.

glucocorticoid replacement; IV fluids; glucose and salt replacement

300

Nursing and collaborative care of Cushing. 

I/O and daily weights; diuretics; monitor fluid and electrolytes; cardiac monitor (hypokalemia risk); monitor BP; skin care; glucose monitoring
300

Nursing care and interventions: in-patient.

I/O and daily weights; neuro checks; seizure/safety precautions; cardiac monitor; hypotonic fluids; desmopressin (vasopressin)

300

Nursing care and interventions: in-patient.

I/O and daily weights; lung sounds; neuro checks; seizure/safety precautions; cardiac monitor; diuretics; fluid restriction, etc.

300
Classic findings of hyperaldosteronism (3)

hypernatremia, hypokalemia, alkalosis (H+ ion excretion)

400

Corticosteroid patient teaching, main points.

DO NOT stop abruptly; increase during times of stress; monitor blood sugar; injury and infection prevention; take with food (minimize nausea)

400
Possible treatment or management options.

Adrenalectomy, tumor removal.

Medications: mitotane; metyrapone, ketoconazole, aminoglutethimide

400

You cannot give desmopressin to patients with these in their medical history. 

MI, HF, HTN, renal insufficiency

400

This could be a primary nursing diagnosis. 

Fluid volume overload. 

400

ADH is produced here and stored there. 

Hypothalamus and posterior pituitary.

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