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Endocrine System | Registered Nurse (RN) School Study Aid
Cushing's Syndrome Assessment
- Assessment
- Increased Cortisol Levels
- Truncal Obesity
- Purple Abdominal Striae
- Buffalo Hump
- Decreased Bone Density
- Moon Face
- Thinning Skin
- Hyperglycemia
- Hypertension
- Considerations
- Long Term Glucocorticoid Use
- Immunosuppression
2 mins
Addison's Disease Assessment
- Assessment
- Deficiency of Cortisol and Aldosterone
- Irritability
- Hyperkalemia
- Muscle Weakness
- Skin Hyperpigmentation
- Hyponatremia
- Hypotension
- Hypoglycemia
- Considerations
- Addisonian Crisis
2 mins
Addison's Disease Intervention
- Drug Therapy
- Hydrocortisone
- 2/3 Dose in Morning
- 1/3 Dose in Late Afternoon
- Fludrocortisone
- Androgen Replacement Therapy
- Considerations
- Salt Additives
- Increase Dosage During Stress and Infection
- Medic Alert Bracelet
- Lifelong Hormone Therapy
2 mins
Addisonian Crisis
- Assessment
- Severe Symptoms
- Shock
- Interventions
- High-Dose Hydrocortisone
- Large Volumes of IV Fluid
- Insulin with Dextrose
- Kayexalate
- Loop or Thiazide Diuretics
2 mins
Pheochromocytoma
- Cause/Mechanism
- Adrenal Medulla Tumor
- Increased Catecholamines
- Assessment
- Episodic Hypertension
- Diaphoresis
- Abdominal or Chest Pain
- Interventions
- Surgery
- Antihypertensives
- Phenoxybenzamine
- Metyrosine (Demser)
- Considerations
- Do Not Palpate Abdomen
3 mins
Primary Hyperaldosteronism
- Etiology
- Increased Aldosterone Secretion
- Adrenal Adenoma
- Bilateral Adrenal Hyperplasia
- Clinical Features
- Hypertension
- Hypokalemic Metabolic Alkalosis
- No Significant Edema
- Diagnosis
- Increased Aldosterone
- Decreased Renin
- Abdominal CT Scan
- Management
- Aldosterone Antagonists
- Surgery
3 mins
Peripheral Precocious Puberty
- Characteristics
- Secondary Sex Characteristics before 8 Years (Girls) or 9 Years (Boys)
- Breast Development (Girls) or Testicular Enlargement (Boys)
- GnRH Independent
- Etiologies
- Congenital Adrenal Hyperplasia
- Exogenous Sex Steroids
- Granulosa Cell Tumor
- Non-Germ Cell Tumor
- Diagnostic Features
- GnRH Stimulation Test
- No Increase in LH
- Bone Age
- Hormone Levels
- Management
- Treating Underlying Disorders
3 mins
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