Question

1. Identify possible nursing diagnoses for Cushing syndrome.
2. Who would benefit from SSKI, PTU, tapazole RAIU? Are there any precautions or patient teaching to be mindful of for each?

Answer 1

1) Based on the assessment data, the major nursing diagnoses of the patient with Cushing's syndrome include: Risk for injury related to weakness. Risk for infection related to altered protein metabolism and inflammatory response. Self-care deficit related to weakness, fatigue, muscle wasting, and altered sleep patterns.
2) 1. SSKI :- Potassium iodide is used to loosen and break up mucus in the airways. This helps you cough up the mucus so you can breathe more easily if you have long term lung problems (e.g., asthma, chronic bronchitis, emphysema). This medication is known as an expectorant.
2. Propylthiouracil (PTU) is a medication used to treat hyperthyroidism. This includes hyperthyroidism due to Grave's disease and toxic multinodular goiter.
3. TAPAZOLE is indicated: In patients with Grave's disease with hyperthyroidism or toxic multinodular goiter for whom surgery or radioactive iodine therapy is not an appropriate treatment option. To ameliorate symptoms of hyperthyroidism in preparation for thyroidectomy or radioactive iodine therapy.
3) For patients taking the oral solution form of this medicine:
This medicine is to be taken by mouth even if it comes in a dropper bottle.
Do not use if solution turns brownish yellow.
Take potassium iodide in a full glass (8 ounces) of water or in fruit juice, milk, or broth to improve the taste and lessen stomach upset.