which complication would the nurse expect if a client with addisons disease receiving cortisone

Name: which complication would the nurse expect if a client with addisons disease receiving cortisone therapy abruptly stops the medication select all that apply one some or all responses may be c 24407
Uploaded: 2023-08-01T06:17:54-08:00
Duration: 3 min 13 s
Channel: Adi S
Description: which complication would the nurse expect if a client with addisons disease receiving cortisone therapy abruptly stops the medication select all that apply one some or all responses may be c 24407

Step 1: Addison's disease is a disorder that occurs when the adrenal glands do not produce enoug

Which complication would the nurse expect if a client with...

Labs

Want to see this concept in action?

NEW

Explore this concept interactively to see how it behaves as you change inputs.

View Labs

Key Concepts

Key Concept

Premium Feature

Explore the core concept behind this problem.

Key Concept

Premium Feature

Explore the core concept behind this problem.

Recommended Videos

3-patients-with-addisons-disease-can-display-a-number-of-symptoms-related-to-hypoaldosteronism-low-mineralocorticoid-synthesis-in-addition-to-reductions-in-glucocorticoid-levels-as-a-result-00291

Patients with Addison's disease can display a number of symptoms related to hypoaldosteronism (low mineralocorticoid synthesis), in addition to reductions in glucocorticoid levels. As a result, you might expect to see the following symptom in such patients: A. cataracts B. hair loss C. hypotension D. increased hair loss E. water retention

Adi S.

Hypertension is common and most often presents as an independent medical condition. Occasionally, hypertension is a result of an underlying illness and requires different treatment. Because adrenal function is critical for blood pressure, potassium, and glucose homeostasis, an adrenal etiology should be considered in all patients with blood pressure problems accompanied by electrolyte abnormalities, unexplained change in weight, failure to thrive, inappropriate virilization, and periodic anxiety. Five different clinical scenarios are presented below. Each presentation is associated with a different diagnosis and treatment and completes the following opening statement: A 22-year-old woman (no family history available, not currently taking medication, negative medical history) presents with... A. hypertension with weakness and rapid onset of truncal obesity. This patient also complains of easy bruising and recent development of abdominal stretch marks. Fasting plasma glucose is 348 mg/dL. Question 1. What is the diagnosis? Explain your answer. B. hypertension with swollen ankles, hypokalemia, and hypernatremia. Blood pH is 7.45. The patient also has a high urine potassium excretion without diuretics. Question 2. What is the diagnosis? Explain your answer. C. mild hypotension and hyperkalemia. Blood pH is 7.38 and BUN is 34mg/dL and GFR is 82 ml/min. Question 3. What is the diagnosis? Explain your answer. D. hypotension with muscle weakness, fatigue, weight loss, heart palpitation, weight loss, and secondary amenorrhea. Her laboratory results reveal hyperkalemia. Fasting blood glucose is 55mg/dL, serum albumin is 8.0 mg/dL and blood pH is 7.35. Question 4. What is the diagnosis? Explain your answer. E. hypertension with headache, diarrhea and abdominal pain. The patient also suffers from panic attacks and hot flashes. Fasting plasma glucose is 285 mg/dL and TSH is 6.5 µU/mL. Question 5. What is the diagnosis? Explain your answer.

Aarya B.

A.C. is a 79-year-old man living in a long-term care facility. He has had multiple medical diagnoses, including heart failure (HF), chronic obstructive pulmonary disease (COPD), and a stroke. He is bedridden and receiving enteral tube feedings. He has chronic diarrhea thought to be related to his tube feedings. He receives digoxin and furosemide (Lasix) to manage his heart failure. 1. A.C. is prone to several acid-base and fluid-electrolyte disorders. Which of the following is/are true for this patient? (select all that apply) a. Hypokalemia b. Respiratory acidosis c. Hypernatremia d. Saline excess How would A.C. attempt to compensate for respiratory acidosis should it occur? (select all that apply) a. Compensation through renal excretion of bicarbonate ions. b. Compensation through renal production of more bicarbonate ions. c. Compensation through hyperventilation. d. Compensation through hypoventilation. 3. What acid-base imbalance might occur as a result of A.C.'s chronic diarrhea? (select all that apply) a. Metabolic alkalosis b. Respiratory alkalosis c. Metabolic acidosis d. Respiratory acidosis Case-2: Patient History L.S. is brought to the emergency department for management of acute mushroom poisoning. Her respirations are slow and shallow, and she is nonresponsive. She is admitted to the critical care unit to be closely monitored for the development of respiratory failure and renal failure, which often accompany mushroom poisoning. Her urine output is decreased to about 20 ml/hr. Her laboratory values are serum K+ = 5.7 mEq/L; arterial blood gases (ABGs): pH = 7.13, PaCO2 = 56 mm Hg, PaO2 = 89 mm Hg, HCO3- = 18 mEq/L. Analyze this case study and answer the next four questions that follow. Case-2 Question-1 What is the most likely cause of L.S.'s potassium imbalance? (select all that apply) The most likely cause of L.S.'s potassium imbalance is her shallow breathing. The most likely cause of L.S.'s potassium imbalance is impaired kidney function. The most likely cause of L.S.'s potassium imbalance is respiratory failure. The most likely cause of L.S.'s potassium imbalance is renal failure.

Sri K.

Transcript

00:01 So, in this question we are discussing about addison's disease.

00:07 Ok, so addison's disease is a disease which is characterized by the insufficient production of adrenal hormones.

00:29 Ok, adrenal hormones means the hormones which are produced by the adrenal gland.

00:34 Ok, so adrenal gland produces two categories of hormones which are known as glucocorticoids and another group is mineralocorticoids.

00:54 Ok, so glucocorticoids, one example of glucocorticoid is cortisol and one example of mineralocorticoid is aldosterone.

01:06 Now both of these hormones, ok, they are produced by the adrenal cortex.

01:16 Ok, and the adrenal cortex it gets affected in addison's disease...

Question

Which complication would the nurse expect if a client with Addison's disease receiving cortisone therapy abruptly stops the medication? Select all that apply. One, some, or all responses may be correct. Hypokalemia Generalized edema Shock Alkalosis Circulatory collapse

Please give Ace some feedback