Addison's disease
Primary finding of Addison's.
Adrenal insufficiency
Primary finding of Cushing.
Excess of corticosteroids
Common etiologies of DI.
head trauma, lithium
Most common etiology of SIADH.
Small cell lung cancer.
These (3) are produced by the adrenal cortex.
glucocorticoids, mineralocorticoids, androgens
Classical clinical manifestations and findings of Addison's.
copper skin pigmentation; weight loss; dehydration; orthostatic hypotension; HYPOnatremia; HYPERkalemia; nausea and vomiting; hypoglycemia; weakness.
Classic clinical manifestations and findings of Cushing.
Full, round face; truncal ob*sity; hyperglycemia; dark stretch marks; bruising; delayed wound healing; osteoporosis; edema, etc.
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.
Clinical manifestations and findings of SIADH.
decreased UO; edema and weight gain; high BP; high urine SG (concentrated); low serum osmolality (dilute); HYPOnatremia
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.
Nursing and collaborative care of Addison's.
glucocorticoid replacement; IV fluids; glucose and salt replacement
Nursing and collaborative care of Cushing.
Nursing care and interventions: in-patient.
I/O and daily weights; neuro checks; seizure/safety precautions; cardiac monitor; hypotonic fluids; desmopressin (vasopressin)
Nursing care and interventions: in-patient.
I/O and daily weights; lung sounds; neuro checks; seizure/safety precautions; cardiac monitor; diuretics; fluid restriction, etc.
hypernatremia, hypokalemia, alkalosis (H+ ion excretion)
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)
Adrenalectomy, tumor removal.
Medications: mitotane; metyrapone, ketoconazole, aminoglutethimide
You cannot give desmopressin to patients with these in their medical history.
MI, HF, HTN, renal insufficiency
This could be a primary nursing diagnosis.
Fluid volume overload.
ADH is produced here and stored there.
Hypothalamus and posterior pituitary.