NUR 211 FINAL REVIEW

NUR 211 FINAL REVIEW
1. What is the syndrome caused by long term use of corticosteriods?
Answer
Cushing's syndrome or disease
2. What are the physical characteristics of adrenal insufficiency?
Answer
chronic fatigue
muscle weakness weight loss abdominal pain loss of appetite
other symptoms include- nausea, vomiting, diarrhea, orthostatic hypotension, irritability &
depression, salty foods, headache, hypoglycemia, headache, sweating, irregular periods, loss of
sex for women, hyper pigmentation of skin
3. What is the name of the disease characterized by adrenal insufficiency?
Answer
-
Addison's disease
4. To prevent adrenal insufficiency what should a nurse tell a patient coming off long term
prednisone therapy do?
Answer
Slowly taper down dose
5. What isthemost common cause of adrenocortical insufficiency?
Answer
therapeutic use of corticosteriods
6. To avoid addisonian crisis, when does a patient need to take supplemental
glucocorticosteriods?
Answer
physical trauma, dehydration, psychosocial stress, and before surgery
7. What are the signs and symptoms of addisonian crisis?
Answer
sudden, sever pain in the lower back, abdomen, or legs
severe vomiting or diarrhea dehydration
hypotension LOC
CAN CAUSE DEATH