Cushing Syndrome
Excess glucocorticoids
What is Cushing syndrome
occurs after stressors such as surgery or infection
What is adrenal insufficiency/ Addison's?
Increased ADH, fluid overload and low sodium
What is SIADH?
Blood glucose above 250 ml/dL
What is the risk for DKA?
Daily weight, intake and output, temperature, electrolyte, WBC
What is the nursing care for Cushing syndrome?
Cardiac monitor, intake, output, increase oral fluids and salt, IV fluids
What is the management of Addison's?
Low vasopressin (ADH) , fluid deficit, high sodium
What is Diabetes Insipidus?
Self monitoring
What is the most effective way to prevent complications?
Low potassium, high blood pressure, increase JVD, lung sounds crackles, edema
What is the manifestation of Cushing syndrome?
Get out of bed slowly, daily weight same scale same clothing, vital signs, assess strength, monitor blood sugar
What is the nursing care for Addisons?
Loop diuretics and demeclocycline
What is the treatment for SIADH?
First check blood glucose then give 15gm of fruit juice, repeat blood glucose in 15 mins
What is treatment for hypoglycemia?
Sudden stopping of glucocorticoids
What is Addisonian crisis?
hypovolemic shock, fever, hypotension, weakness, abdominal pain
What is Addisonian crisis?
Urine specific gravity <1.005, tachycardia, thirst, high urine output
What is the manifestations of DI?
Get the correct meter strips, anemia can alter results, good blood sample, clean meter after use
What is patient teaching on glucometer?
Teaching patient to eat more protein and vitamins A and C
What education is used to prevent infection of Cushing syndrome?
Give rapid IV replacement, IV prednisone
What is Addisonian crisis treatment?
Vasoprssin- DDAVP
What is the treatment for DI?
Flush the IV tubing before attaching to IV site, put on infusion pump, stop after the first dose of SQ insulin
What is insulin IV gtt for DKA ?