Addison\'s Disease - ati template PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Dami ST UDENT NAME Julianna _____________________________________ Addison’s Disease DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) A decrease in production of adrenal hormones

Pathophysiology Related to Client Problem decrease in cortisol production initially followed by that of aldosterone, both of which will eventually result in an elevation of adrenocorticotropic (ACTH) and melanocyte-stimulating hormone (MSH) hormones due to the loss of negative feedback inhibition

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Addison's disease can't be!prevented

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Type I diabetes, Hypoparathyroidism, Hypopituitarism, Pernicious anemia, Testicular dysfunction, Graves' disease, Chronic thyroiditis, Candidiasis, Dermatis herpetiformis, Vitiligo, Myasthenia gravis

Laboratory Tests

Fatigue or extreme weakness, Unexplained weight loss, Muscle aches and weakness, Dizziness and fainting, Changes in blood pressure or heart rate, Abdominal pain, Nausea, vomiting, Diarrhea/constipation, Decreased body hair, Hyperpigmentation (with Addison disease, dark patches of skin, especially in the folds of the skin, and on the face, neck, and back of the hands), Low blood sugar (hypoglycemia), Salt craving (with Addison disease),Dehydration (with Addison disease)

Diagnostic Procedures

cortisol, ACTH, ACTH stimulation, Aldosterone, renin, electrolyes, BUN, Creatinine, glucose, CRH

Abdominal x-ray, abdominal CT,

PATIENT-CENTERED CARE

Nursing Care Monitor I&Os, administer IV, monitor electrolytes, administer medications

Therapeutic Procedures hormone replacement

ACTIVE LEARNING TEMPLATES

Infection fluid imbalance electrolye imbalance

Complications Medications Fludrocortisone spironolactone hydrocortisone ketoconazole prednisone etomidate Dose increase during intercurrent illness

Client Education High sodium, high caloric, low potassium diet, Take prescribed meds, monitor fluids

Interprofessional Care

severe dehydration. severe hypotension. Shock severe vomiting and diarrhea. extreme muscle weakness. headache. extreme sleepiness or coma. death.

nurse, provider, pt/ot, nutrition

THERAPEUTIC PROCEDURE

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