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Wednesday, June 8, 2011

ADDISON DISEASE

ADDISON DISEASE – hyposecretion of adrenal cortex hormones (glucocorticoids & mineralocorticoids). Fatal if left untreated.
SIGNS & SYMPTOMS: Lethargy, fatigue & muscle weakness, GI disturbances, wt. loss, menstrual changes in women, impotence in men, hypoglycemia, hyperkalemia, postural hypotension, dehydration, emotional disturbances
PATIENT TEACHINGS: Avoid individuals with infection, strenuous exercise & stressful situations. Need for lifelong glucocorticoid therapy. Avoid OTC meds. Wear medic-alert bracelet.
 TREATMENTS: Monitor VS, BP, wt. and I & O. Monitor blood glucose, and potassium. Administer glucocorticoid or mineralocorticoid medications as prescribed.
DIETS AND DRUGS: High protein, carbohydrate, & sodium intake. Dexamethasone, Hydrocortisone and Fludrocortisone.

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