Where are the Adrenal Glands, and what

Where are the Adrenal Glands, and what hormones do they secrete? Define Primary Addison’s Disease (otherwise known as Adrenal Insufficiency). Define Secondary Addison’s Disease. Why is acute adrenal insufficiency considered a life-threatening emergency? What would the nurse expect to find on physical assessment of a person who is in an Addisonian crisis? What are the triggers of an Addisonian Crisis? Choose three prioritized nursing diagnoses for this condition, and list two prioritized nursing/collaborative care interventions for each. Labs for diagnosis of this condition are (primarily): Plasma cortisol levels, ACTH-stimulatioin test, urine cortisol and aldosterone levels, CT scan, MRI, electrolytes, CBC, blood glucose BUN. The hormones indicated are: cortisol, ACTH, and aldosterone. What does each of these hormones regulate or do in the body? What medications are used to replace adrenal corticosteroids? How long does the patient have to take these? If this condition is secondary to a pituitary tumor, what would be the most common treatment? Define Cushing’s Disease. List three prioritized nursing diagnoses for Cushing’s Disease, and list two prioritized nursing/collaborative interventions for each. Why are the symptoms almost an exact opposite of those for Addison’s Disease? Where is ACTH produced? How does the ACTH hormone relate to Cushing’s Disease? SCIENCE HEALTH SCIENCE NURSING NURE 231

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