NURS 5463 - Mod 4 Endocrine Exam Questions And Answers 100% Pass
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Course
Nurs 5463
Institution
Nurs 5463
NURS 5463 - Mod 4 Endocrine Exam
Questions And Answers 100% Pass
Adrenal Insufficiency - answerAddison's Disease
Acute addisonian crisis can result in death
common in age 30-50
Primary Adrenal Insufficiency - answeroccurs when there is damage to the adrenal gland
autoimmune
greater than 90% ...
Adrenal insufficiency - Work up - answer✔ACTH Stimulation Test - if baseline levels are <3mcg/dl
Addison's disease is highly likely
CMP - may see: hypoNA, hypoK, mild non-gap acidosis, hypoglycemia
CBC's - lyphocytosis, eosinophilia
TSH - may or may not have hypothyroidism
Adrenal Crisis - answer✔An acute, life-threatening state of profound adrenocortical insufficiency
requiring immediate medical management. It is characterized by glucocorticoid deficiency, a drop in
extracellular fluid volume, hyponatremia, and hyperkalemia.
Unexplained shock, hypo or hyperthermia, n/v/abd or flank pain
Adrenal Crisis Treatment - answer✔Massive infusion of replacement steroids
Constant monitoring and life support procedures
Fluid replacement
Hydrocortisone - 100mg IV, then 50mg IV Q6H
Pressors - if need be
Adrenal Insufficiency: Geriatric considerations - answer✔typically occurs due to adrenal gland failure
rather than pituitary disorder
symptoms and treatment are the same
Cushing disease/syndrome - answer✔Disease - excess cortisol or an ACTH-secreting tumor, causing an
exess of cortisol (very rare)
Syndrome - excessive cortisol in the blood - most cases are due to exogenous glucocorticoids (more
common)
Symptoms are the same. Disease vs. syndrome depends on where the excess cortisol is coming from
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