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1. Addison's vs. Cushings
these are med surg notes to help with endocrine
Course
Caring for the Chronically Ill (NURS 3615)
39 Documents
Students shared 39 documents in this course
University
The University of Texas at Tyler
Academic year: 2018/2019
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Addison's vs. Cushings
Med Surg: Endocrine
Pathophysiology
C Cushing (HIGH Cortisol Steroids)
C Cushion Pillow ‘Air Bag”
Pathophysiology
A ADD “some steroids” (Cortisol & Aldosterone)
A ADDed Stress will KILL!
Causes
A AUTOIMMUNE (body kills adrenals or Pituitary)
D DISEASES: Cancer, Infections (TB/HIV)
D DAMAGE: Adrenal Hemorrhage (Trauma)
Signs & Symptoms
LOW BP, Wt, Glucose, Temp, Hair, Mood, Sodium, Energy
HIGH Skin Tan (bronze) + Potassium (K+) Over 5.
Signs & Symptoms
BIG BP, Infections, Wt, Hair, Belly, Brittle Bones
Causes
STEROIDS Prednisone LONG TERM Therapy (asthma + RA) TUMOR (Pituitary/Adrenal) SMALL CELL LUNG CANCERNCLEX TIP
A Add Steroids “-sone” Prednisone)
Increase the Dose during Stress, Surgery, Sepsis
D Diet HIGH in Protein, Carbs & Sodium
D Don’t “Abruptly” STOP Steroids! (Crisis)
D Don’t believe this medication will cure you
I Indefinitely: “Lifelong” hormone replacement
Treatment
####### SURGERY Cut out Tumor REmove organ = REplace Steroids
####### SLOWLY decrease Steroids “taper off gradually”
Treatment
C CUSHION
TRUNCAL Obesity + Moon Face + Buffalo hump
U UNUSUAL HAIR Growth
“Hirsutism” (hairy suit)
S SKIN
“Purple Striae” “butterfly mark”
H HIGH Sugar, BP, Weight
HIGH BP
NCLEX Question
Which clinical manifestation(s) would be observed in a patient with Cushing syndrome? Select all that apply: 1. Easy bruising 2. Increased blood glucose 3. Increased blood pressure
- Increased potassium
- Increased abdominal girth
- Decreased weight
Addison
Absent Steroids LOW
Small, Weak, Tanned
Cushing
Cushion of Steroids HIGH
Big, Round, Hairy
A ADDED Tan
“Bronze pigmentation” “hyper pigmentation”
A ADDED Potassium
“Hyperkalemia” Over 5 (normal 3–5)
D DECREASE Weight (Water loss = weight loss)
NOT TRUNCAL OBESITY
D DECREASED BP, hair, sugar & energy
“fatigue” “alopecia” “hypoglycemia” “hypotension"
S SODIUM loss 135 or LESS
(135–145 normal)
S SALT craving
*NOT hairy NOT “Hirsutism” = hair suit & *NOT thin skin is cushings
LOW BP - TICKING TIME BOMB
Caution: No Steroids = DEATH!
A Addisonian Crisis
D Drop in BP 89/40 LESS (Normal: 120/80)
ADDisonian "Adrenal" Crisis
ADD steroids (IV push)
“-sone” hydrocortisone prednisone
1ST NURSE ACTION
Was this document helpful?
1. Addison's vs. Cushings
Course: Caring for the Chronically Ill (NURS 3615)
39 Documents
Students shared 39 documents in this course
University: The University of Texas at Tyler
Was this document helpful?
Addison's vs. Cushings
Med Surg: Endocrine
Pathophysiology
C • Cushing (HIGH Cortisol Steroids)
C • Cushion Pillow ‘Air Bag”
Pathophysiology
A • ADD “some steroids” (Cortisol & Aldosterone)
A • ADDed Stress will KILL!
Causes
A • AUTOIMMUNE (body kills adrenals or Pituitary)
D • DISEASES: Cancer, Infections (TB/HIV)
D • DAMAGE: Adrenal Hemorrhage (Trauma)
Signs & Symptoms
LOW BP, Wt, Glucose, Temp, Hair, Mood, Sodium, Energy
HIGH Skin Tan (bronze) + Potassium (K+) Over 5.0
Signs & Symptoms
BIG BP, Infections, Wt, Hair, Belly, Brittle Bones
Causes
STEROIDS Prednisone LONG TERM Therapy (asthma + RA)
TUMOR (Pituitary/Adrenal)
SMALL CELL LUNG CANCER NCLEX TIP
A • Add Steroids “-sone” Prednisone)
Increase the Dose during Stress, Surgery, Sepsis
D • Diet HIGH in Protein, Carbs & Sodium
D • Don’t “Abruptly” STOP Steroids! (Crisis)
D • Don’t believe this medication will cure you
I • Indefinitely: “Lifelong” hormone replacement
Treatment
SURGERY Cut out Tumor REmove organ = REplace Steroids
SLOWLY decrease Steroids “taper off gradually”
Treatment
C • CUSHION
TRUNCAL Obesity + Moon Face +
Buffalo hump
U • UNUSUAL HAIR Growth
“Hirsutism” (hairy suit)
S • SKIN
“Purple Striae” “butterfly mark”
H • HIGH Sugar, BP, Weight
HIGH BP
NCLEX Question
Which clinical manifestation(s) would be observed in a patient with Cushing syndrome?
Select all that apply:
1. Easy bruising
2. Increased blood glucose
3. Increased blood pressure
4. Increased potassium
5. Increased abdominal girth
4. Decreased weight
Addison
Absent Steroids LOW
Small, Weak, Tanned
Cushing
Cushion of Steroids HIGH
Big, Round, Hairy
A • ADDED Tan
“Bronze pigmentation” “hyper pigmentation”
A • ADDED Potassium
“Hyperkalemia” Over 5.0 (normal 3.5–5.0)
D • DECREASE Weight (Water loss = weight loss)
NOT TRUNCAL OBESITY
D • DECREASED BP, hair, sugar & energy
“fatigue” “alopecia” “hypoglycemia”
“hypotension"
S • SODIUM loss 135 or LESS
(135–145 normal)
S • SALT craving
*NOT hairy NOT “Hirsutism” = hair suit &
*NOT thin skin is cushings
LOW BP - TICKING TIME BOMB
Caution: No Steroids = DEATH!
A • Addisonian Crisis
D • Drop in BP 89/40 LESS (Normal: 120/80)
ADDisonian "Adrenal" Crisis
ADD steroids (IV push)
“-sone” hydrocortisone prednisone
1ST NURSE ACTION
