Autoimmune Idiopathic atrophy of the adrenal glands Iatrogenic due to surgical removal of both glands Infections (e.g.

e.g.,TB/Histoplasmosis) Administration of medications a. Hydrocortisone (Solu-cortef) given thru IV b. Vasopressor amine if hypotension persist Monitor vital signs Over secretion, exposure to cold, acute infections Anorexia Gastrointestinal symptoms Severe/chronic dehydration Muscular weakness To restore blood circulation Oral intake as tolerated to prevent hypovolemic shock Administer fluids (5% dextrose in NSS and Place patient in recumbent position with legs elevated Supplementary dietary intake (i.e., pickles) Emaciation (haggard looking/extreme leanness) Mental status changes (depression, apathy, emotional lability) Addisonian crisis with disease progression and acute hypotension Dark pigmentation of the skin

LEGEND Disease Definition Etiology Signs and symptoms Nursing Interventions Medical Management Goal of Therapy
Due to decreased cortisol/aldosterone Results when adrenal cortex function is inadequate to meet the patients need for cortical hormones Prevention of infection

Addisons Disease

To combat shock

Restoring fluid balance

Improving activity intolerance (Quiet and non-stressful activities) Monitoring for Addisonian crisis s/sx : a. Hypotension b. Rapid, weak respiratory rate c. Extreme weakness d. Pallor Promoting community and home-based care