adrenal cortex
Nursing 361 with Ramsey at University of Tennessee - Knoxville
About this deck
By: Josh Campbell
Textbook:
Medical-Surgical Nursing: Critical Thinking in Client Care
Created: 2009-02-27
Size: 17 flashcards
Views: 34
Textbook:
Medical-Surgical Nursing: Critical Thinking in Client CareCreated: 2009-02-27
Size: 17 flashcards
Views: 34
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Where is the adrenal gland?
on the kidneys
what is Cushings Disease consistent with?
adrenal cortex hyperfunction
what does secondary Cushing's syndrome come from?
benign pituitary adenomas
hypothalmic pituitary dysfunction
Cancer of the pancreas or thymus
hypothalmic pituitary dysfunction
Cancer of the pancreas or thymus
what is iatrogenic Cushing's Disease usually caused by?
longterm steroid therapy
what is the Cushing's reaction usually consistent with?
with IICP,
increased BP,
increased MAP,
and bradycardia
increased BP,
increased MAP,
and bradycardia
What are the nursing diagnosis with adrenal cortex hyperfunction?
risk for fluid excess
injury
infection
body image disturbances
injury
infection
body image disturbances
what lab tests are done fro adrenal cortex hyperfunction?
cortisol levels
ACTH leveks
24 hr urine
electrolytes
ACTH leveks
24 hr urine
electrolytes
What disease results from too little cortisol?
Addison's Disease
what are the clinical manifestations of addison's disease?
weakness, fatigue, fever, anorexia, N and V, weight loss, bronzed skin color, hypoglycemia, hypotension, scant axillary and pubic hair in women
slow onset, syncope, hypovolemic shock
slow onset, syncope, hypovolemic shock
What is primary adrenal cortex hypofunction?
autoimmune destruction of the adrenal galnd
what is secondary adrenal cortex hypofunction?
due to hypopituitarism, surgical removal of the pituitary, or rapid withdrawal of steroids
what is addisonian crisis precipitated by?
stress
what are the lab findings consistent with addison's disease?
decreased cortisol, glucose, and NA
increased K and BUN
increased K and BUN
what is the treatment for addison's disease?
corticosteroids, mineralcorticoids, increased NA in diet
what are the nursing diagnosis for addison's ?
fluid volume deficit
risk for ineffective management-stress
risk for ineffective management-stress
what is seen with adrenal medulla hyperfunction?
increased HR, severe BP increases, Angina, H, A dysrhythmias, diaphoresis, Nand V, pallor or flushing
what is produced with adrenal medulla hyperfunction?
catecholamines-epinepherine, norepi
About this deck
By: Josh Campbell
Textbook: Medical-Surgical Nursing: Critical Thinking in Client Care
Created: 2009-02-27
Size: 17 flashcards
Views: 34
Textbook:
Medical-Surgical Nursing: Critical Thinking in Client CareCreated: 2009-02-27
Size: 17 flashcards
Views: 34
About StudyBlue
STUDYBLUE makes things that make you better at school.
Things like online flashcards with photos and audio.
Things like personalized quizzes and friendly reminders about when (and what) to study next.
Think of it as a digital backpack™: access to all of your study materials online and on your phone.
STUDYBLUE exists to make studying efficient and effective for every student, for free. Join us.
“I have used this website for three exams, and I see a huge difference in my test results.”
Naj
Naj