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33 Cards in this Set
- Front
- Back
If an adrenal tumor is inoperable, these are used to treat it (not treatment of choice):
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Alpha and beta-adrenergic blockers
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What must be stabilized before surgery is performed to remove an adrenal tumor?
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BP
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Can you palpate the abdomen of a patient with a pheochromocytoma? Why or why not?
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No! You can stimulate the release of epinephrine and cause severe HTN
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A mostly benign tumor of the adrenal medulla; produces, stores, and releases epinephrine and norepinephrine. Causes HTN, headache, profuse diaphoresis, flushing, apprehension, and sense of doom:
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Pheochromocytoma
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An adrenal cytotoxic agent used for inoperable adrenal tumors that cause hypercortisolism:
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Lysodren
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Drug given to interfere with ACTH production, therefore reducing levels:
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Periactin
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What is the treatment goal of Cushing's disease?
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To decrease cortisol level, remove tumor, and restore body appearance to normal or acceptable standards
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Will a patient with Cushing's disease retain or excrete fluids?
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Retain
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Test used to diagnose Cushing's disease:
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Dexamethasone suppression testing
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Are lymphocytes, calcium, and potassium values elevated or deficient in Cushing's disease?
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Deficient
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Are blood glucose and sodium levels increased or decreased in Cushing's disease?
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Increased
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Are cortisol levels elevated or deficient in Cushing's disease?
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Increased
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Moon face, buffalo hump, truncal obesity, HTN, dependent edema, increased risk for bleeding, muscle atrophy, osteoporosis, thin skin, striae, increased skin pigmentation, increased risk for infection, and a decreased immune function are caused in this adrenal gland malfunction:
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Cushing's disease
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Type of Cushing's disease that stems from use of mineral corticoids for diseases like asthma, organ transplants, chemo, allergic reactions, and chronic fibrosis:
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Exogenous oversecretion
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Type of Cushing's disease that stems from adrenal hyperplasia, pituitary tumors, and cancer of lungs, GI, pancreas, and adrenal gland:
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Endogenous oversecretion
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Excessive secretion of cortisol which affects metabolism, increases body fat, and leaves the patient prone to infection (kills off lymphocytes):
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Cushing's disease
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What two things given for an adrenal crisis will help push potassium back into the cells?
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Insulin and D50W
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True or false: An adrenal crisis (Addison's disease) is life threatening and emergent.
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True
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This mineralocorticoid causes sodium reabsorption and potassium excretion:
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Florinef
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When, in relation to the time of day, does the body produce cortisol?
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While we sleep
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The increased potassium level seen in Addison's disease may cause these serious cardiac complications:
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Dysrhythmias
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Cortisol is needed for regulation of this; if deficient, patient will show signs of hypoglycemia:
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Blood glucose
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Will skin pigmentation be lighter or darker with Addison's disease?
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Darker
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Levels of this hormone are deficient in Addison's disease; if the patient doesn't get this, they will die:
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Cortisol
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Which electrolyte level(s) are increased in Addison's? Decreased?
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Increased: K, CA
Decreased: Na |
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Muscle weakness, fatigue, joint/muscle pain, anorexia, N/V, constipation/diarrhea, weight loss, salt cravings, vitiligo, increased skin pigmentation, anemia, and hypotension are seen in this adrenal gland disorder:
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Addison's disease
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Pituitary tumors, hypophysectomy, and high doses of radiation cause this type of Addison's disease:
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Secondary
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Autoimmune, AIDS, TB, cancer, hemorrhage, gram-negative sepsis, adrenaectomy, abdominal radiation, fungus, and some drugs can cause this type of Addison's disease:
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Primary
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What are the goals of treatment for Addison's disease?
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Fluid balance, prevent hypoglycemia
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Adrenal insufficiency; caused by inadequate secretion of ACTH by the hypothalamus and pituitary gland:
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Addison's disease
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These hormones affect carbohydrate, fat, and protein metabolism, the body's response to stress, emotional stability, and immune function:
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Glucocorticoids
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Hormone that promotes sodium and water reabsorption and potassium excretion in the kidney tubules:
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Aldosterone
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Gland that secretes mineralocorticoids which control the body's fluid and electrolyte balance:
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Adrenal gland
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