Please enable JavaScript.
Coggle requires JavaScript to display documents.
Cushing's syndrome (Hypercortisolism) - Coggle Diagram
Cushing's syndrome
(Hypercortisolism)
Clinical manifestations
Endocrine
Metabolic alkalosis
Hyperglycemia
Menstrual abnormalities
Impotence
Adrenal suppression
Moon face
Truncal obesity
Buffalo hump
Hypernatremia
Hypokalemia
Cardiovascular
Heart failure
Hypertension
Immune function
Decreased inflammatory response
Impaired wound healing
Increased susceptibility to infections
Ophthalmic
Cataract
Glaucoma
Skeletal
Osteoporosis
Spontaneous fractures
Aseptic necrosis of femur
Vertebra compression fracture
GI
Pancreatitis
Peptic ulcer
Muscular
Muscle weakness
Myopathy
Dermatologic
Thinning of skin
Petechiae
Ecchymosis
Striae
Acne
Pschiatric
Mood alterations
Psychosis
Etiology
Pituitary hyper-secretion/pituitary tumors
Adrenal tumors
Adrenal hyperplasia
Ectopic secretion of ACTH (carcinomas/tumors)
High dose of corticosteroids
Definition
Hypersecretion of glucocorticoids, mineralocorticoids and androgens
Pathophysiology
Persistent hyperglycemia (steroid diabetes)
Potassium depletion
Protein tissue wasting and osteoporosis
Sodium and water retention
Hypertension
Abnormal fat distribution
Increased susceptibility to infection and lowered resistance to stress
Increased production of androgens in females
Mental changes
Disease Diagnosis
Dexamethasone suppression test
24 hr urine test
Radiology test
CT
MRI
Ultrasound
Increased serum sodium, blood glucose and eosinophils
Decreased serum potassium
Medical Management
Titrate drug
Radiation therapy
Adrenal blocking agent (Nizoral)
Adrenalectomy
Hypophysectomy
Nursing diagnosis
Inadequate health knowledge
Disrupted body image
Disrupted thought process
Risk for adult falls
Risk for infection
Impaired skin integrity
Nursing Management
Pre-op care
Nursing assessments (History, Physical, Mental and Emotion)
Vital Signs
Continous monitoring of blood glucose and electrolyte levels
Post-op care
Vital Signs
Pain management
Wound assessment
Continous monitoring of blood glucose and electrolyte levels
Infection control
Monitor for signs and symptoms of shock, adrenal crisis, renal shutdown
Home care and follow up
Information regarding use of corticosteroid
Dietary modifications (low sodium, high potassium)
Daily blood pressure, blood glucose levels and body weight monitoring
Importance of wearing medical bracelet
Regular follow-ups
Patient education oʻ(short-term and long-term expectations, complications)