ADDISON’S DISEASE SHORT NOTES

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“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
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