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NSG223 EXAM 3 REVIEW

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    Mod 8-10
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  • What hormones are released by the adrenal medulla?
    Catecholamine hormones: epinephrine, norepinephrine
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  • What hormones are released by the adrenal cortex?
    glucocorticoids, mineralocorticoids, androgens
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  • What medication is given as glucocorticoid replacement in adrenal insufficiency?
    hydrocortisone (corticosteroids)
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  • What medication is given as mineralocorticoid replacement in adrenal insufficiency?
    Fludrocortisone (replace aldosterone)
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  • Adrenal excess is also known as ______.
    Cushing Syndrome
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  • Adrenal insufficiency is also known as ________.
    Addison Disease
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  • Name at least 5 symptoms of Addison's Disease?
    Hyperpigmentation, weakness, weight loss, anorexia, GI symptoms, low BP, Low NA, High K, Low glucose
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  • What labs are expected when diagnosing Addison's Disease?
    Low AM serum cortisol, high plasma ACTH
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  • Hydrocortisone should be taken with food at 9am. True or False
    True (space other doses evenly throughout day)
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  • Patients with Addison's Disease should use a salt substitute? True or False
    False
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  • List 5 symptoms of Cushing Disease?
    Hirsutism, weight gain, elevated glucose, moon face, fragile skin, buffalo hump
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  • Patients with Cushing Disease have a risk for osteoporosis. What diet would you recommend?
    High Vit D, Calcium, Protein
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  • What labs are done to diagnosis Cushing disease?
    High serum/urine cortisol; Dex suppression test with elevated cortisol levels
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  • What medication is given to treat Cushing's disease?
    Ketoconazole
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  • Excessive growth hormone is known as ____.
    Acromegaly (Gigantism in children)
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  • How is acromegaly diagnosed?
    Elevated IGF1; Elevated GH serum levels; MRI to assess pituitary
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