“ADDISON’S DISEASE SHORT NOTES”
HYPOSECRETION OF ADRENAL CORTEX HORMONE (GLUCOCORTICOID AND MINERALOCORTICOID)
CAUSES:
- BI LATRAL ADRENALECTOMY
- AUTO IMMUNE DESTRUCTION OF ADRENAL GLAND
- CHRONIC INFECTION OF ADRENAL GLAND
- SUPPRESSION OF HYPOTHALAMIC PITUTARY ADRENAL AXIX FUNCTION
SIGNS AND SYMPTOMS:
- HYPERKALEMIA, HYPONATREMIA, HYPERCALCEMIA HYPOGLYCEMIA, HYPOTENSION
- WEIGHT LOSE, DEHYDRATION, IRREGULAR MENSTRURATION, IMPOTENCE IN MALE
- LETHARGY, FETIGUE, MUSCLE WEAKNESS, HYPERPIMENTATION OF THE SKIN OR BRONZED SKIN
TREATMENT:
- MONITOR VITAL SIGNS, INTALE AND OUTPUT CHART, DAILY WEIGHT CHART, WBC, BLOOD GLUCOSE, SERUM SODIUM, POTASSIUM, CALCIUM.
- ADMINISTER CORTICOSTEROID
- OBSERVE FOR ADDISONIAN CRISIS CAUSED BY STRESS, INFECTION, TRAUMA OR SURGERY
- AVOID INDIVIDUAL WITH INFECTION
- EDUCATE TO TAKE HIGH PROTEIN AND HIGH CARBOHYDRATE, NORMAL SODIUM INTAKE DIET
- WEAR A MEDIC ALERT BRACELET
ADDISONIAN CRISIS SHORT NOTES
- IT IS A LIFE-THREATENING DISORDER CAUSED BY ACUTE ADRENAL INSUFFICIENCY
- PRECIPITATED BY STRESS, INFECTION, TRAUMA, SURGERY OR ABRUPT WITHDRAWAL OF EXOGENOUS CORTICOSTEROID USE
SIGNS AND SYMPTOMS:
- HEADACHE, ABDOMINAL PAIN, LEG, AND LOWER BACK PAIN, WEAKNESS, IRRITABILITY, HYPOTENSION, SHOCK.
- HYPONATREMIA, HYPERKALEMIA, HYPOGLYCEMIA
TREATMENT:
- PREPARE TO ADMINISTER GLUCOCORTICOIDS
- MONITOR VITAL SOGNS AND BLOOD PRESSURE, INTAKE OUTPUT CHART, SERUM SODIUM, AND POTASSIUM AND BLOOD GLUCOSE LEVELS
- ADMINISTER IV FLUIDS
