<h3>Overview</h3>
<ol>
<li style="font-weight: 400;">Hypersecretion of glucocorticoids leading to elevated cortisol levels</li>
<li style="font-weight: 400;">A greater incidence in women</li>
<li style="font-weight: 400;">Life-threatening if untreated</li>
</ol>
<h3>Nursing Points</h3>
<h4>General</h4>
<ol>
<li style="font-weight: 400;">Causes
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Adrenal or Pituitary Tumor
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">The pituitary gland controls adrenal hormones</li>
</ol>
</li>
<li style="font-weight: 400;">Overuse or Chronic use of Corticosteroids</li>
</ol>
</li>
<li style="font-weight: 400;">Adrenal Cortex
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Glucocorticoids
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Cortisol</li>
<li style="font-weight: 400;">Glucose &amp; Fat Metabolism</li>
<li style="font-weight: 400;">Anti-inflammatory</li>
</ol>
</li>
<li style="font-weight: 400;">Mineralocorticoids
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Aldosterone</li>
<li style="font-weight: 400;">Regulate fluid and electrolytes</li>
</ol>
</li>
<li style="font-weight: 400;">Sex hormones (Androgens)
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Testosterone, Estrogen</li>
<li style="font-weight: 400;">Control physical features</li>
<li style="font-weight: 400;">Control hair distribution</li>
</ol>
</li>
</ol>
</li>
<li style="font-weight: 400;">Adrenal Medulla
<ol>
<li style="font-weight: 400;">Epinephrine (Adrenaline)</li>
<li style="font-weight: 400;">Norepinephrine (Noradrenaline)</li>
<li style="font-weight: 400;">Fight or Flight Response</li>
</ol>
</li>
<li style="font-weight: 400;">Cushing’s Syndrome
<ol>
<li style="font-weight: 400;">Excess Cortisol</li>
<li style="font-weight: 400;">Excess Aldosterone</li>
<li style="font-weight: 400;">Excess Androgens</li>
</ol>
</li>
</ol>
<h4>Assessment</h4>
<ol>
<li style="font-weight: 400;">Cardiovascular
<ol>
<li style="font-weight: 400;">Hypertension</li>
<li style="font-weight: 400;">Signs of Heart Failure</li>
</ol>
</li>
<li style="font-weight: 400;">Metabolic
<ol>
<li style="font-weight: 400;">Redistribution of Fats</li>
<li style="font-weight: 400;">Moon Face</li>
<li style="font-weight: 400;">Buffalo Hump</li>
</ol>
</li>
<li style="font-weight: 400;">Integumentary
<ol>
<li style="font-weight: 400;">Excess hair</li>
<li style="font-weight: 400;">Striae on abdomen</li>
<li style="font-weight: 400;">Fragile skin</li>
<li style="font-weight: 400;">Peripheral edema</li>
</ol>
</li>
<li style="font-weight: 400;">Electrolytes
<ol>
<li style="font-weight: 400;">Hypokalemia</li>
<li style="font-weight: 400;">Hypocalcemia</li>
<li style="font-weight: 400;">Hypernatremia</li>
<li style="font-weight: 400;">Hyperglycemia</li>
</ol>
</li>
<li style="font-weight: 400;">Decreased Immune Response</li>
</ol>
<h4>Therapeutic Management</h4>
<ol>
<li style="font-weight: 400;">Remove Adrenal or Pituitary Tumor</li>
<li style="font-weight: 400;">Adrenalectomy</li>
<li style="font-weight: 400;">Decrease dose or stop corticosteroid use</li>
<li style="font-weight: 400;">Monitor Electrolytes and Cardiovascular Status
<ol>
<li style="font-weight: 400;">Replace electrolytes as needed</li>
</ol>
</li>
<li style="font-weight: 400;">Safety → Protect from Injury 
<ol>
<li style="font-weight: 400;">Risk for Osteoporosis (hypocalcemia)</li>
<li style="font-weight: 400;">Risk for Infection</li>
<li style="font-weight: 400;">Risk for Skin breakdown </li>
</ol>
</li>
</ol>
<h4>Nursing Concepts</h4>
<ol>
<li style="font-weight: 400;">Fluid &amp; Electrolytes
<ol>
<li style="font-weight: 400;">Monitor and replace electrolytes as needed</li>
<li style="font-weight: 400;">Monitor EKG and Cardiac status</li>
<li style="font-weight: 400;">Administer medications as ordered</li>
</ol>
</li>
<li style="font-weight: 400;">Infection Control
<ol>
<li style="font-weight: 400;">Monitor VS for s/s infection</li>
<li style="font-weight: 400;">Meticulous wound care</li>
<li style="font-weight: 400;">Infection precautions</li>
</ol>
</li>
<li style="font-weight: 400;">Safety
<ol>
<li style="font-weight: 400;">Risk for osteoporosis → protect from injury</li>
<li style="font-weight: 400;">Risk for skin breakdown → skincare and meticulous wound care</li>
</ol>
</li>
<li style="font-weight: 400;">Comfort and Coping
<ol>
<li style="font-weight: 400;">Changes to appearance </li>
<li style="font-weight: 400;">Edema &amp; weight gain</li>
</ol>
</li>
</ol>
<h3>Patient Education</h3>
<ol>
<li style="font-weight: 400;">Proper dosing of steroids</li>
<li style="font-weight: 400;">Coping strategies as needed</li>
<li style="font-weight: 400;">s/s infection to report to the provider</li>
<li style="font-weight: 400;">Blood sugar monitoring</li>
</ol>

Med-Surg | Metabolic / Endocrine

01-03-nursing-care-and-pathophysiology-for-cushings-syndrome

01.03 Nursing Care and Pathophysiology for Cushings Syndrome

<h3>Pathophysiology: Addison&#8217;s occurs because there is an elevated level of serum ACTH and inadequate amounts of corticosteroids.</h3>
Overview
<ol>
<li style="font-weight: 400;">Hyposecretion of adrenal cortex hormones</li>
<li style="font-weight: 400;">Decreased levels of glucocorticoids and mineralocorticoids leads to 
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Electrolyte imbalances</li>
<li style="font-weight: 400;">Decreased vascular volume</li>
</ol>
</li>
<li style="font-weight: 400;">Fatal if untreated</li>
</ol>
<h3>Nursing Points</h3>
<h4>General</h4>
<ol>
<li style="font-weight: 400;">Adrenal Cortex
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Glucocorticoids
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Cortisol</li>
<li style="font-weight: 400;">Glucose &amp; Fat Metabolism</li>
<li style="font-weight: 400;">Anti-inflammatory</li>
</ol>
</li>
<li style="font-weight: 400;">Mineralocorticoids
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Aldosterone</li>
<li style="font-weight: 400;">Regulate fluid and electrolytes</li>
</ol>
</li>
<li style="font-weight: 400;">Sex hormones (Androgens)
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Testosterone, Estrogen</li>
<li style="font-weight: 400;">Control physical features</li>
<li style="font-weight: 400;">Control hair distribution</li>
</ol>
</li>
</ol>
</li>
<li style="font-weight: 400;">Adrenal Medulla
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Epinephrine (Adrenaline)</li>
<li style="font-weight: 400;">Norepinephrine (Noradrenaline)</li>
<li style="font-weight: 400;">Fight or Flight Response</li>
</ol>
</li>
</ol>
<h4>Assessment</h4>
<ol>
<li style="font-weight: 400;">Cardiovascular
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Hypotension</li>
<li style="font-weight: 400;">Tachycardia</li>
</ol>
</li>
<li style="font-weight: 400;">Metabolic
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Weight loss</li>
</ol>
</li>
<li style="font-weight: 400;">Integumentary
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Hyperpigmentation (bronzing) </li>
</ol>
</li>
<li style="font-weight: 400;">Electrolytes
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Hyperkalemia</li>
<li style="font-weight: 400;">Hypercalcemia</li>
<li style="font-weight: 400;">Hyponatremia</li>
<li style="font-weight: 400;">Hypoglycemia</li>
</ol>
</li>
<li style="font-weight: 400;">Addisonian Crisis
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Acute exacerbation</li>
<li style="font-weight: 400;">Severe electrolyte disturbance</li>
</ol>
</li>
</ol>
<h4>Therapeutic Management of Addisons Disease</h4>
<ol>
<li style="font-weight: 400;">Replace adrenal hormones
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Corticosteroids
<ol style="list-style-type: lower-roman;">
<li style="font-weight: 400;">Hydrocortisone</li>
<li style="font-weight: 400;">Prednisone</li>
</ol>
</li>
</ol>
</li>
<li style="font-weight: 400;">Addisonian Crisis
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Monitor electrolytes and cardiovascular status closely</li>
<li style="font-weight: 400;">Administer adrenal hormones as ordered</li>
<li style="font-weight: 400;">Administer electrolyte replacement as needed</li>
</ol>
</li>
</ol>
<h4>Nursing Concepts</h4>
<ol>
<li style="font-weight: 400;">Fluid &amp; Electrolytes
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Monitor Vital Signs</li>
<li style="font-weight: 400;">Monitor electrolytes (potassium, sodium, calcium)</li>
<li style="font-weight: 400;">Replace electrolytes as needed</li>
</ol>
</li>
<li style="font-weight: 400;">Hormone Regulation
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Administer replacement adrenal hormones as needed</li>
<li style="font-weight: 400;">Lifelong medication therapy needed</li>
</ol>
</li>
<li style="font-weight: 400;">Glucose Metabolism
<ol style="list-style-type: lower-alpha;">
<li style="font-weight: 400;">Monitor glucose levels</li>
<li style="font-weight: 400;">Treat low blood sugar</li>
</ol>
</li>
</ol>
<h3>Patient Education</h3>
<ol>
<li style="font-weight: 400;">Increase salt and water intake if exercising</li>
<li style="font-weight: 400;">S/s of Addisonian Crisis</li>
<li style="font-weight: 400;">May require increased medication dosing if ill, notify provider</li>
</ol>
<div style="margin-top: 20px; margin-bottom: 20px; width: 100%;background:white;border-radius:4px;padding:20px">
 <center>
 Want to learn more? View a suggested lesson<h4 style="margin: 10px;"><a href="https://admin.nursing.com/lesson/nursing-care-plan-for-addisons-disease-primary-adrenal-insufficiency/" style="text-decoration:none;">Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)</a></h4></center>
 </div>

01-02-nursing-care-and-pathophysiology-for-addisons-disease

Addisons Disease

In this course, you'll be able to learn different mnemonics that will help you to remember the need to know nursing information!

nursing-mnemonics-cram

Aortic Aneurysm – Management Nursing Mnemonic (CRAM)

nursing-mnemonics-pee-bads

Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)

nursing-mnemonics-sad

Aortic Stenosis Symptoms Nursing Mnemonic (SAD)

nursing-mnemonics-be-joan-of-arc

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

nursing-mnemonics-toilet-paper-my-ass

Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

nursing-mnemonics-the-5-ps

Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

nursing-mnemonics-i-have-a-right-to-camp-if-you-left-off-the-ac

Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)

nursing-mnemonics-please-read-his-text

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

nursing-mnemonics-unload-fast

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

nursing-mnemonics-the-4-ts

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

nursing-mnemonics-chop

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

nursing-mnemonics-left-lung-right-rest

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

nursing-mnemonics-head

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

nursing-mnemonics-ape-to-man

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

nursing-mnemonics-the-4-cs

Hypertension- Complications Nursing Mnemonic (The 4 C’s)

nursing-mnemonics-diuretic

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

nursing-mnemonics-vak

Increase MAP Nursing Mnemonic (VAK)

nursing-mnemonics-hard-ass-mrs-msd

Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)

nursing-mnemonics-tv-sparc-cube

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

nursing-mnemonics-his-leg-might-fall-off

Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)

nursing-mnemonics-cold-hand

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

nursing-mnemonics-triple-h-therapy

Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)

Cardiovascular (Cardiac, CVD) Mnemonics

nursing-mnemonics-kult

Anion Gap Acidosis 1 Nursing Mnemonic (KULT)

nursing-mnemonics-mudpiles

Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)

nursing-mnemonics-rome

Arterial Blood Gases Nursing Mnemonic (ROME)

nursing-mnemonics-universally-odd

Blood Type O Nursing Mnemonic (Universally Odd)

nursing-mnemonics-piso

Electrolytes – Location in Body Nursing Mnemonic (PISO)

nursing-mnemonics-groans-moans-bones-stones-overtones

Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)

nursing-mnemonics-machine

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

nursing-mnemonics-dry-hot-insulin-shot

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

nursing-mnemonics-aired

Hyperkalemia – Management Nursing Mnemonic (AIRED)

nursing-mnemonics-murder

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

nursing-mnemonics-model

Hypernatremia – Causes Nursing Mnemonic (MODEL)

nursing-mnemonics-salt

Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)

nursing-mnemonics-cats

Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

nursing-mnemonics-tired

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

nursing-mnemonics-6-ls

Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)

nursing-mnemonics-salt-loss

Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)

nursing-mnemonics-all-dogs-eat-kibble

Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)

nursing-mnemonics-birth-control

Vitamins – Water Soluble Nursing Mnemonic (Birth Control)

Electrolytes & Labs Mnemonics

nursing-mnemonics-batted

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

nursing-mnemonics-beep

Bleeding Complications (Minor) Nursing Mnemonic (BEEP)

nursing-mnemonics-mr-dice-runs

Mnemonic for Organ Systems (MR DICE RUNS)

nursing-mnemonics-randi

Bleeding Precautions Nursing Mnemonic (RANDI)

nursing-mnemonics-coal

Canes Nursing Mnemonic (COAL)

nursing-mnemonics-clpn

Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

nursing-mnemonics-cho-cho-chon

CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

nursing-mnemonics-map-it

Community Health Tool Nursing Mnemonic (MAP-IT)

nursing-mnemonics-i-prepare

Environmental Health Assessment Nursing Mnemonic (I PREPARE)

nursing-mnemonics-fit

Exercise Guidelines Nursing Mnemonic (FIT)

nursing-mnemonics-pass

Fire Safety 1 Nursing Mnemonic (PASS)

nursing-mnemonics-race

Fire Safety 2 Nursing Mnemonic (RACE)

nursing-mnemonics-brow

Gluten Free Diet Nursing Mnemonic (BROW)

nursing-mnemonics-kings-eat-big-cakes

High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)

nursing-mnemonics-scum

IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)

nursing-mnemonics-never-carry-dirty-socks-or-smelly-clothes

Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)

nursing-mnemonics-cake-everyday

Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)

nursing-mnemonics-opqrst

Pain Assessment Questions Nursing Mnemonic (OPQRST)

nursing-mnemonics-precede-proceed

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

nursing-mnemonics-pooper-scoop

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

nursing-mnemonics-perrla

Pupil Reactions Nursing Mnemonic (PERRLA)

nursing-mnemonics-madle

Safety Check Nursing Mnemonic (MADLE)

nursing-mnemonics-sbar

SBAR Communication Nursing Mnemonic (SBAR)

nursing-mnemonics-soapie

Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)

nursing-mnemonics-fast

Stoke Assessments Nursing Mnemonic (FAST)

nursing-mnemonics-adpie-a-delicious-pie

Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)

nursing-mnemonics-aapie-an-apple-pie

Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)

nursing-mnemonics-abcdefghi

Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)

nursing-mnemonics-traumatic

Trauma – Complications Nursing Mnemonic (TRAUMATIC)

nursing-mnemonics-ample

Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

nursing-mnemonics-start

Triage Nursing Mnemonic (START)

nursing-mnemonics-wandering-wilma-always-late

Walkers Nursing Mnemonic (Wandering Wilma Always Late)

old-carts

OLD CARTS Mnemonic (OLD CARTS)

Fundamentals & Nursing Process Mnemonics

nursing-mnemonics-anorexia

Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)

nursing-mnemonics-pains

Appendicitis – Assessment Nursing Mnemonic (PAINS)

nursing-mnemonics-bulimia

Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)

nursing-mnemonics-washed

Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)

nursing-mnemonics-christmas

Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

nursing-mnemonics-please-bring-happy-energy

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

nursing-mnemonics-bad-hits

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

nursing-mnemonics-brat

Diarrhea – Treatment Nursing Mnemonic (BRAT)

nursing-mnemonics-please-fix-his-abscess-soon

Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)

nursing-mnemonics-air-raid

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

nursing-mnemonics-reflux-is-probably-mean

GERD causes Nursing Mnemonic (Reflux Is Probably Mean)

nursing-mnemonics-her-belly-really-hurts-following-dinner

Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)

nursing-mnemonics-5-fs

Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)

nursing-mnemonics-the-3-cs

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)

Included In This Lesson

Outline

The 3 S’s

Description

View the FULL Outline

Nursing Mnemonics

Cardiovascular (Cardiac, CVD) Mnemonics

Electrolytes & Labs Mnemonics

Fundamentals & Nursing Process Mnemonics

Gastrointestinal (GI) Mnemonics

Hematology (Blood) & Oncology (Cancer) Mnemonics

Infections Mnemonics

Integumentary (Skin) Mnemonics

Metabolic & Endocrine Mnemonics

Musculoskeletal (Bones, Osteo) Mnemonics

Neurological Mnemonics

Mental Health Mnemonics

Obstetrics (OB) & Pediatrics (Peds) Mnemonics

Pharmacology (Medication) Mnemonics

Renal (Kidney, Nephrotic) Mnemonics

Respiratory System Mnemonics

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Adrenal Gland Hormones Nursing Mnemonic (The 3 S&#8217;s)

Included In This Lesson

Outline

The 3 S’s

Description

View the FULL Outline

Nursing Mnemonics

Cardiovascular (Cardiac, CVD) Mnemonics

Electrolytes & Labs Mnemonics

Fundamentals & Nursing Process Mnemonics

Gastrointestinal (GI) Mnemonics

Hematology (Blood) & Oncology (Cancer) Mnemonics

Infections Mnemonics

Integumentary (Skin) Mnemonics

Metabolic & Endocrine Mnemonics

Musculoskeletal (Bones, Osteo) Mnemonics

Neurological Mnemonics

Mental Health Mnemonics

Obstetrics (OB) & Pediatrics (Peds) Mnemonics

Pharmacology (Medication) Mnemonics

Renal (Kidney, Nephrotic) Mnemonics

Respiratory System Mnemonics

Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)