Question

In: Nursing

Active learning template. Concept analysis on acute adrenal crises

Expert Solution

Acute Adrenal Crisis

* Medical emergency caused by lack of cortisol.

Key points :-

* Cortisol - A steroid hormone (glucocorticoid) which deal with glucose metabolism.

*Adrenal cortex- Produces cortisol.

*pituitary gland - (anterior) regulates cortisol production by ACTH ( adrenocorticotropic hormone )

Causes :-

* Damage to the adrenal cortex

* Under treated addison's disease

* Adrenalectomy - removal of adrenal gland

* Damage to pituitary gland & no enough ACTH

Signs & symptoms :-

* Dehydration

* low blood pressure

* Sudden pain in stomach, back and legs

*Syncope

* Shock

* Severe Vomiting, diarrhoea, and headache

* Hyponatremia

* Hyperkalemia

* Hypoglycemia

Diagnosis :-

* electrolytes and glucose

*Baseline cortisol and ACTH

- send before steroid administration

* Renin random cortisol

*ACTH stimulation test

MAnagement :-

* Emergency management

- IV access

-Draw blood for stat electrolytes and glucose

- infuse 2-3 L of 0.9% saline or 5% dextrose in 0.9% saline solution.

- Administer cortisol stat

(Hydrocortisone along with iv fluids 100 mg every 6 hours )

-supportive management

* chronic management

- start glucocorticoids and mineralocorticoids

(Prednisone, hydrocortisone )

* Patient education

-Recognition & treatment of minor and major stress /illness

- clean evironment to prevent infection

Nightingale answered 1 year ago

Active learning template : Basic Concept Intravenous Therapy

Use Ati Active learning Template Basic concept to demonstrate Coping Use ATI Active learning template Basic...

Use Ati Active learning Template Basic concept to demonstrate Coping Use ATI Active learning template Basic concept to demonstrate self concept and sexuality

Active learning template Basic Concept: Intravenous Therapy chapter 49

Use Ati Active learning Template Basic concept to demonstrate Therapeutic communication

Active Learning Template: System Disorder Urosepsis

Active Learning Template: Nursing Skill PREECLAMPSIA.

active learning template system disorder schizophrenia

Use Ati Active learning Template to demonstrate Hypothyroidism

Use Active Learning Template: Nursing Skill PREECLAMPSIA.

Use Active Learning Template: Diagnostic Procedure PREECLAMPSIA.