Pathophysiology
This most common endogenous cause of Cushing syndrome is caused by excessive secretion of ACTH by a pituitary adenoma.
What is Cushing's disease.
This is the first line of action when Cushing syndrome is the result from corticosteroid administration.
How to reduce or taper medication to the minimum dosage for treatment?
This is the build up of fat in the upper back between the shoulder blades.
What is buffalo hump?
This is a potential complication of Cushing syndrome that results in bone loss and increased risk for fractures.
What is osteoporosis?
The nurse should monitor this vital sign closely in a patient with Cushing syndrome.
What is blood pressure?
Any condition where there is a chronic glucocorticoid or cortical excess.
What is Cushing Syndrome.
This is another successful treatment for pituitary tumors but takes several months for control of symptoms.
What is radiation of the pituitary gland?
This symptom causes bleeding underneath the skin.
What is ecchymoses?
The use of this medication is usually taken to treat inflammatory diseases but if taken in high doses for a long period of time can result in Cushing syndrome.
What are corticosteroids?
How to record input & output and the patient's weight?
Most common iatrogenic cause of Cushing syndrome.
What are prescription corticosteroids.
The treatment of choice in patients with unilateral adrenal hypertrophy.
What is adrenalectomy?
Excessive hair growth on the face.
What is Hirsutism?
Sodium reabsorption in the kidneys, increased peripheral vascular resistance, and increased cardiac output with vasoconstriction are all contributing factors to this major complication of Cushing syndrome.
What is hypertension?
These labs should be monitored specifically in a patient with Cushing Syndrome.
How to monitor WBC, serum glucose, sodium, potassium and calcium levels.
This is a rare ectopic ACTH producing form of Cushing syndrome.
What is small cell lung cancer.
This is necessary for several months until the adrenal glands begin to respond normally.
What is the temporary replacement therapy with hydrocortisone?
This is a characteristic of a "full rounded" face.
What is moon face?
Cushing syndrome occurs when the pituitary gland produces too much of this hormone which then causes an increase of corticosteroids by the adrenal gland.
What is ACTH ( adrenocorticotropic hormone)?
This is the surgery that requires the removal of the pituitary gland.
What is a hypophysectomy?
A rare enlargement from increased cell production in a normal gland attached to the kidneys.
What is adrenal hyperplasia.
The preferred treatment of choice if Cushing syndrome is caused by pituitary tumors.
What is the surgical removal of the tumor by transsphenoidal hypophysectomy?
These are common feelings or symptoms that are increased by the severity of physical changes that occur during Cushing syndrome.
What is distress and/or depression?
This is a life threatening situation that can occur when symptoms of Cushing syndrome is treated by withdrawal of corticosteroids, results in low blood pressure, low blood sugar and high blood potassium.
What is an Addisonian crisis?
This supplement is given after a patient receives an adrenalectomy procedure.
What is a glucocorticoid?