Addison’s Disease
Let's look at all the hypos
- Hypoglycemia
- Hypotension
- Hyponatremia
- Hypoweight…ok, weight loss
- Hypoenergy
- Hypostrength
- Hypohydration…ok, dehydration
- All the hypos can lead to vascular collapse or shock due to hypotension.
There is one hyper. Hyperkalemia- can stop the heart. Look for tall peaked T waves
Treat to prevent adrenal crisis
- Fever
- Syncope
- Convusions
- Hypoglycemia
- Hyponatremia
- Severe vomiting/diarrhea
Nursing Interventions
- Administer IV corticosteroids
- Monitor vitals signs
- Assess sodium and potassium
- Daily weight
- Assess hypoglycemia
- Increase intake of carbs and protein.
- Assess for symptoms of cushing’s after to treatment
- Life-long steroids needed
- Assess GI distress causes by steriods
- Carry medical ID card/bracelet
