Cushing 's Syndrome Case Study, Manifestations, And Nursing Implications

1820 Words Apr 13th, 2015 8 Pages
Cushing’s Syndrome Case Study, Manifestations, and Nursing Implications
Introduction
A 44-year-old male presents with complaints of body malaise and anorexia. He has noticed his attitude going from happy to depressed. He complains of weight gain, bruising easily, and frequent backaches. His arms and legs are thin. He became hypertensive three months ago, he does not have diabetes but his blood sugar has been elevated. His medications include Lisinopril; however, he has been noncompliant.
At the emergency department labs were drawn, his ACTH and urine cortisol were elevated. His sodium was elevated at 150 mEq/L, and potassium was low at 3.0 mEq/L. An MRI revealed a pituitary tumor. He was diagnosed with Cushing’s Syndrome.
Cushing’s Syndrome is serious condition where there is an excess amount of the hormones secreted by the adrenal cortex including glucocorticoids, mineralocorticoids, and gonadocorticoids circulating in the blood (Timby, 2014). This imbalance can be caused by pituitary tumor secreting too much adrenocorticotrophic hormone (ACTH). When there is an excess amount of ACTH secreted by the pituitary gland, the adrenal gland is stimulated to produce an excess amount of adrenal cortex hormones including cortisol (NEMDIS, 2012). The causes of this imbalance can include: an ACTH producing pituitary tumor, ectopic ACTH secretion by a non-pituitary tumor, cortisol secretion from an adrenal adenoma or carcinoma, or long term corticosteroid use (Nieman, 2014). According…

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