NUR211 NUR 211 FINAL EXAM REVIEW (Latest Rasmussen)
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Course
NUR 211
Institution
Rasmussen College
NUR211 NUR 211 FINAL EXAM REVIEW (Latest Rasmussen) NUR211 NUR 211 FINAL EXAM REVIEW (Latest Rasmussen) NUR211 NUR 211 FINAL EXAM REVIEW (Latest Rasmussen) NUR211 NUR 211 FINALNUR211 NUR 211 FINAL EXAM REVIEW (Latest Rasmussen) EXAM REVIEW (Latest Rasmussen) NUR211 NUR 211 FINAL EXAM REVIEW (Latest...
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NUR 211
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NUR 211 FINAL EXAM REVIEW (Latest Rasmussen)
What is the syndrome caused by long term use of corticosteroids?
Cushing's syndrome or disease
What are the physical characteristics of adrenal insufficiency?
Chronic fatigue
muscle weakness
weight loss
abdominal pain
loss of appetite
other symptoms include- nausea, vomiting, diarrhea, orthostatic hypotension, irritability &
depression, salty foods, headache, hypoglycemia, headache, sweating, irregular periods, loss of
sex for women, hyper pigmentation of skin
What is the name of the disease characterized by adrenal insufficiency?
Addison's disease
To prevent adrenal insufficiency what should a nurse tell a patient coming off long term
prednisone therapy do?
Slowly taper down dose
What is the most common cause of adrenocortical insufficiency?
therapeutic use of corticosteroids
To avoid addisonian crisis, when does a patient need to take supplemental glucocorticosteriods?
physical trauma, dehydration, psychosocial stress, and before surgery
What are the signs and symptoms of addisonian crisis?
sudden, sever pain in the lower back, abdomen, or legs
severe vomiting or diarrhea
dehydration
hypotension
LOC
CAN CAUSE DEATH
, What vital task does cortisol perform in the body?
Maintains BP and cardiovascular function
reduces the immune inflammatory response
balancing the effects of insulin
regulates the metabolism of proteins, carbohydrates, and fats
What should a patient with cushing's disease add to their diet to combat muscle wasting?
High levels of protein
What are all of the adrenal hormones?
Adrenal hormone dehydroepiandosterone (DHEA)
Glucocorticoid (cortisol)
Mineralcorticoid (aldosterone)
What does DHEA (Adrenal hormone dehydroepiandosterone) do?
Makes androgens and estrogens, the male and female sex hormones
What does glucocorticoid (cortisol) do?
Maintains BP and cardiovascular function
slows immune inflammatory response
regulates metabolism and glucose
What does mineralocorticoid (aldosterone) do?
Helps maintain BP and cardiac function
balances sodium and potassium levels
When aldosterone production falls to low, patient will experience what?
Low sodium and high potassium
What is the criteria for SAIDH?
hypoantremia <135
absence of edema due to disease
urinary osmolality >100
failure to correct hyponatremia by infusion of NaCl
urinary sodium concentration >40
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