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ENDOCRINE ADRENAL INSUFFICIENCY THYROID EMERGENCY image image, image,…
ENDOCRINE ADRENAL INSUFFICIENCY THYROID EMERGENCY
ADRENAL GLAND:
The endocrine gland that sits on top of kidneys
Responsible for producing:
MEDULLA
Epinephrine
2.Norepinephrine
ADRENAL CORTEX
Cortisol
Aldosterone
Adrenal Insufficiency:
ACTH- Stimulates adrenal cortex
Found in individual taking glucocorticoid therapy
-Weight loss
-Think deficient, dry = weak and fatigue
SYMPTOMS:
WEIGHT LOSS
NAUSEA
FATIGUE
DEHYDRATION
LOW BLOOD SUGAR
BRONZING OR DARKENING OF THE SKIN
VOMITING OR ABDOMINLA PAIN
TREATMENT:
Glucocorticoids
Mineralocorticoids
Hydrocortisone (most common)
ADRENAL CRISIS
CAUSE:
Undiagnosed Adrenal Insufficiency and in need for cortisol for carbohydrate and protein metabolism
AI:
Person is in a stressful situation and NO CORTISOL available.
Pts. Taking corticoids for extended period of time results in atrophy of Adrenal Cortex
SIGNS AND SYMPTOMS:
Fatigue
Weakness
Headache
Cyanosis
Fever
Nausea/Vomiting
Tachycardia
Diaphoresis
Dyspnea
Dehtdration
TREATMENT OF ADRENAL CRISIS:
P: RECLINING
COMFORTABLE FOR THE PT.
A/B: ADMIN O2 THROUGH NASAL CANNULA IF EXPERIENCING DYSPNEA
C: MONITOR VITALS
D: CONTACT EMS
THEY WILL ADMIN. IV SODIUM CHLORIDE SOLUTION
PERSONS SUFFERING FROM ADDISONS WILL NEED GLUCOCORTICOD ASAP!
MYXEDEMA-
FACE SWELLING, ALOPECIA AND LOSS OF NAILS ALONG WITH HARDENEING OF SKIN.
THYROID EMERGENCIES:
THYROID GLAND: FUNCTION
BUTTERLY SHAPED
ANTERIOR TO TRACHEA
PRODUCE HORMOES THAT REGULATE:
METABOLIC RATE
GROWTH RATE
OTHER BODY MECHANISMS
HYPOTHYROIDISM:
Deficient thyroid secretion
AKA: MYXEDEMA
Coma Risk.
CAUSE:
-DEFICIENT THYROID SECRETIONS
SYMPTOMS:
hair loss
apathy
lethargy
muscle aches/weakness
constipation
intolerance of cold
receding hairline
facial and eyelid edema
thick tongue
disturbance
late manifestations
TREATMENT OF MYXEDEMA COMA:
MAIN GOAL: NORMALIZE PT TEMP
use blankets.
ADMIT TO HOSPITAL ASAP
FATAL IF LEFT UNTREATMED
I.V ADMIN OF THYROD HORMONE REPLAEMENT.**
HYPERTHYRODIMS
TREATMENT OF THYROID STORM:
LIFE THREATENING EMERGENCY
EXTREME HYPERTHYROID STATE
MAIN GOAL: STABILIZATION UNTIL HOSPITALIZED.
P: PT. IS COMFORTABLE
ABC: AIRWAY, OXYGEN, MONITOR VITALS
EMS: WILL ADMIN I.V FLUIDS
