Addisons

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1. ACTH increased in primary

2. Addisons adrenal hypofunction
destruction of adrenal cortex
underproduction of glucocorticoids and mineralocoticoids
3. BUN increased
4. Causes autoimmune reaction 80% cases
genetic link
pituitary tumor or mets from lung CA
abrupt withdrawal from steroid therapy
5. Cortisol decreased
6. ct scan ...
7. Diagnostic tests ...
8. Diet increase sodium
9. Glucocorticoids cortisone
dexamethasone
hydrocortisone
prednisone
10. glucose decreased
11. H/H increased
12. K increased
13. Manifestations fatigue
muscle weakness
n/v abd pain
salt craving
anorexia
hypotension
osteoporosis
hyperpigmentation
hyperkalemia
hyponatremia
hypoglycemia
14. Medications IFV
15. Mineralcorticoids florinef
16. Most common in ages 30-50
females
17. NA decreased
18. Nursing Dx Deficient fluid volume
knowledge deficit
risk for ineffective therap regimen management
disturbed body image