Endocrine Disorders and Management

These flashcards cover key concepts regarding endocrine disorders, their symptoms, treatments, and nursing priorities as discussed in the lecture.

What stimulates the adrenal glands to release cortisol?

ACTH (Adrenocorticotropic hormone) produced by the pituitary gland.

What are the key symptoms of Addison’s Disease?

Fatigue, weakness, nausea, vomiting, weight loss, salt craving, hyperpigmentation, hypotension.

What is the priority concern in Addison's Disease?

Monitor potassium levels and cardiac status.

What treatment is used for chronic adrenal insufficiency?

Hydrocortisone, prednisone, and dexamethasone.

What is the first intervention in an adrenal crisis?

Rapid IV fluids.

Name one cause of Cushing's Syndrome.

Exogenous steroid use or endogenous pituitary tumor.

What are significant nursing priorities in Cushing’s Syndrome?

Monitor blood pressure, glucose, and electrolytes; infection prevention; fall precautions.

What lab results indicate hyperthyroidism?

Low TSH and high T3 and T4.

What are the signs of a thyroid storm?

Heart rate >140, fever >104°F, hypertension, confusion/agitation.

What is the immediate priority in treating a thyroid storm?

Reduce temperature through cooling measures.

What labs indicate hypothyroidism?

High TSH and low T3 and T4.

What is Myxedema Coma and its treatment?

Life-threatening emergency with hypothermia and bradycardia; treated with IV levothyroxine and IV hydrocortisone.

What is pheochromocytoma?

A tumor causing excess catecholamines, leading to severe hypertension.

How is Diabetes Insipidus characterized?

Low ADH or kidney resistance leading to polyuria, polydipsia, and dehydration.

What is the treatment for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?

Fluid restriction and possibly 3% hypertonic saline in severe cases.

What are the nursing priorities when caring for a patient with SIADH?

Frequent neuro checks, seizure precautions, strict I&O, and daily weights.

What should be assessed first in any emergency situation?

Airway, breathing, and circulation.