What are the priority nursing responsibilities in the care of this patient with Cushing syndrome?
Monitoring. The patient and family can be taught to monitor blood pressure, blood glucose levels, and weight. Follow up appointment. The nurse should emphasize the importance of regular medical follow-ups, the side effects of medications, and the need to wear medical identification with Addison’s and Cushing’s disease.
What is Addison’s disease nursing?
Addison disease is an acquired primary adrenal insufficiency, a rare but potentially life-threatening endocrine disorder that results from bilateral adrenal cortex destruction leading to decreased production of adrenocortical hormones, including cortisol, aldosterone, and androgens.
What is the management of Cushing Syndrome?
The treatment of choice for endogenous Cushing syndrome is surgical resection of the causative tumor. The primary therapy for Cushing disease is transsphenoidal surgery, and the primary therapy for adrenal tumors is adrenalectomy. Other surgical interventions include the following: Bilateral adrenalectomy.
What are the complications of Cushing Syndrome?
Without treatment, complications of Cushing syndrome may include:
- Bone loss (osteoporosis), which can result in unusual bone fractures, such as rib fractures and fractures of the bones in the feet.
- High blood pressure (hypertension)
- Type 2 diabetes.
- Frequent or unusual infections.
- Loss of muscle mass and strength.
What findings are expected when assessing a patient with Cushing’s syndrome?
Weight gain in face (moon face) Weight gain above the collar bone (supraclavicular fat pad) Weight gain on the back of neck (buffalo hump) Skin changes with easy bruising in the extremities and development of purplish stretch marks (striae) particularly over the abdomen or axillary region.
What is the difference between Addisons and Cushings?
Cushing’s syndrome is the opposite of Addison’s: it is an excess of cortisol. However, other levels of the adrenal cortex are usually not significantly affected, therefore, electrolytes are normal.
What is the difference between Addison’s and Cushing’s?
Which of the following is a symptom of Cushing’s syndrome?
Too much cortisol can cause some of the hallmark signs of Cushing syndrome — a fatty hump between your shoulders, a rounded face, and pink or purple stretch marks on your skin. Cushing syndrome can also result in high blood pressure, bone loss and, on occasion, type 2 diabetes.
What is the main cause of Cushing disease?
Too much of the hormone cortisol in your body causes Cushing syndrome. Cortisol, which is produced in the adrenal glands, plays a variety of roles in your body. For example, cortisol helps regulate your blood pressure, reduces inflammation, and keeps your heart and blood vessels functioning normally.
What is the prognosis for Cushing syndrome?
Cushing syndrome can also result in high blood pressure, bone loss and, on occasion, type 2 diabetes. Treatments for Cushing syndrome can return your body’s cortisol production to normal and noticeably improve your symptoms. The earlier treatment begins, the better your chances for recovery.
What causes Cushings syndrome?
Cushing’s syndrome is caused by either excessive cortisol-like medication such as prednisone or a tumor that either produces or results in the production of excessive cortisol by the adrenal glands. Cases due to a pituitary adenoma are known as Cushing’s disease. It is the second most common cause of Cushing’s syndrome after medication.
How is Cushing’s syndrome most likely caused?
Cushing’s syndrome causes Corticosteroids. The most common cause of Cushing’s syndrome is the use of corticosteroid medications, such as prednisone, in high doses for a long period. Tumors. Several kinds of tumors can also lead to a higher production of cortisol. Cushing’s disease.