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45 Cards in this Set
- Front
- Back
ADRENAL HYPERSECTRION
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CUSHINGS SYNDROME-
(ALSO PITUATARY HYPERSECRETION |
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PHEOCHROMOCYTOMA
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GENETIC NUROENDOCRINE DISORDER
PRESENCE OF TUMORE IN ADRENAL MEDULLA |
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S/S OF PHEOCHROMOCYTOMA
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INCREATED SECETION OF TWO CATECHOLAMINE HORMONES:
EPINEPHINE AND NOREPINEPHRINE |
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MAIN ISSUE WITH PHEOCHROMOCYTOMA
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HIGH BP->300 (MALIGNET HYPERTENSION-ALSO HEART PALPITATIONS-NERVES-VISUAL DISTURBANCES
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MEDS AND FOOD THAT EFFECTS
PHEOCHROMOCYTOMA |
ASPIRIN/COUGH MED
ALSO BANANA CAFFENATED DRINKS AND CHOCOLATE. |
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TEST FOR PHEOCHRMOCYTOMA
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24 HOUR URINE SAMPLE (TEST VANILLYLMANDELIC ACID -VMA
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TX FOR PHOCHRMOCYTOMA
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ADRENALECTOMY
STABLLIZE HYDRATION HIGH BLOOD PRESSURE- POST -OP- WATCH BP (NIPRIDE) DRUG OF CHOICE FOR THIS |
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IF BILATERALY ADRENALECTOMY IS DONE
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CORTICOSTEROID THERAPY FOR THE REST OF PT LIFE. (ORAL PREGNISONE)..GIVE WITH MILK
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CHUSHINGS
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CAUSED BY HIGH LEVELS OF CORTICOSTEROIDS- CAUSED BY CHRONIC USE OF ORAL CORTICOSTEROIDS- MORE WOMEAN THAN MEN
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ADDISON'S DISEASE IS CAUSED BY
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ADRENAL HYPOSECTRETION
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ADDISONS CAUSED BY
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INSUFFICIENT PRODUCIONT OF CORTICOSTEROID HORMONES BY THE ADRENAL CORTEX.
AUTOIMMUNE DESTRUCTION |
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S/S OF ADDISONS
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BRONZE SKIN
POSTURAL HYPOTENSION WEIGH LOSS--GI DISTURBANCES-HYPOCLYCEMIA |
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WHAT IS ADRENAL CRISIS
MAIN THING IS TREAT FOR HYPOVOLEMIC SHOCK- ELEVATE LOWER EXTREMITIES |
STRESS/ EMOTIONAL OR PHYSICAL CAN LEAD TO ADDISONIAN CRISIS-
SEVERE DEHYDRATION/TACKY/CARDIA DYSRHYTHIMIS +POTASSIUM / -SODIUM |
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TEACHING FOR ADDISONS INCUDES
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FLUID MANAGEMENT
STRESS MANAGEMENT ORAL HYDORCORTISONE (CORTEF) WILL HAVE TO BE TAKEN FOREVER |
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WHAT DISEASE IS CANUSE BY EXCESS PITUITARY SECRETIOHNS
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ACROMEGALY-
AND SIAHD- TX IS SURGERY |
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NURSING CARE FOR PITUITARY SURGERY-
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CSF CAN LEAK INTO THE BRAIN + ICP- DON'T STRAIN- COUGH ETC
HOB 30 DEGREES |
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WHAT IS S/S OF CSF LEAKAGE
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FREQUENT SWALLOWING
TES BY USE A REGENT STRIP TO CHECK NASEL DRAINAGE FOR GLUCOSE. |
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WHAT IS OLIGURIA
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LOW URINARY OUTPUT
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SIADA IS WHAT
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EXCESSIVE SECRETION FORM THE POSTERIOR PITUITARY LOBE
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WHAT IS THE MAIN THING SECRETED
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VASSOPRESSIN
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PRIMARY S/S OF SIADH
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OLIGUIA- WEIGHT GAIN AND FLUID RETENTION IN THE BRAIN- CEREBRAL EDEMA
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TESTS FOR SIADH WILL SHOW
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LOW SODIUM AND LOW POT RELATED TO FLUID RENTENTION.
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TX FOR SIADH
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IV SALINE SOLUTION FOR LOW SODIUM
BUT ALSO FLUID RESTRICTION TO DECREASE CEREBRAL EDEMA LASIX IF FLUID RENTION IS PROPBME. |
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DIABETES INSIPIDUS IS WHAT
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INSUFFICIENT SECRETION OF ADH BY THE POSTERIOR PITUITARY LOBE
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DI IS CAUSED BY
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GENETICS- HEAD INJURY -TUMOR
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S/S OF DI
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INCREASED THIRST- COLD WATER
+ OUTPUT UP TO 5-15 L PER DA |
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TX FOR DI
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TARGETED TO S/S OF DEHYDRATION
CAREFUL FLUID MONITORING |
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MALIGNANT HYPERTENTION
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PHEOCHOMOCYTOMA
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EXCESSIVE CORTOSOL
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CUSHING
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TX IS ADRENALECTOMY
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PHEOCHROMOCYTOMA
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CAUSED BY USE OF ORAL CORTICOSTEROIDS
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cHUSINGS
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DARK BRONZE TINT TO SKIN
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ADDISONS
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CAUSED BY SPISODIC OR PERSISTENT HYPERSECRETION OF CATECHOLAMINE HORMONS
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PHEOCHOMOCYTOMA
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ECCHYMOSES AND STRIA ARE SYMPTOMS
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CUSHINGS
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EXCESSIVE SECRETION OF VASOPRESSIN BY PITUATARY
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SIADH
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INSUFFICIENT SECRETION OF ADH
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DI
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PENDULOUS ABDOMENN
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CUSHING
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LOW CALERIE DIET
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CUSHINGS
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LITHIUM CAN BE CONTRIBUTING FACTOR
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DI
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BUFFOLO HUMP
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CUSHINGS
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DEHYDRATION AND FEAVER ARE COMMON
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DI
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CEREBRAL EDEMA MAY DEVELOP AND PRECIPITATE SEIZURES
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SIADA
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HEADACH AND VISON LOSS ARE COMMON
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ACROMEGALY
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CRISIS CAN ARIS IN RELATION T SEVER HYPOTENSION AND CARDIA CYSRHYTHIMAS
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ADDISON'S DISEASE
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FOOD TO TAKE WITH PREDISONE
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MILK OR ANTIACTIS
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