Case Study Cushings

On the way tog. S,’s home, you make a mental note to check him for signs and symptoms (S/S) of Cunning’s syndrome. Clinical Presentation Centripetal (truncate) obesity or generalized obesity Thin arms and legs Bruising Weakness and fatigue Moon-faces with facial plethora Purplish-red striate on abdomen, breasts, and buttocks Impaired glucose metabolism Clinical presentation unexplained hypoglycemia Acne Hirsute Menstrual Irregularities Hypertension 1 . Differentiate between Cunning’s syndrome and Cunning’s disease.

Cushing yeomen Is the term used to describe a group of symptoms that occur when a persons’ cortical levels are too high (known as hyperboloid’s) for too long. The majority of people have Cunning’s syndrome because they are regularly taking certain medicine(s) that continually add too much cortical to the body.

Doctors call this an “exogenous” (outside the body) cause of Cunning’s syndrome. Other people have Cunning’s syndrome because something Is causing the adrenal gland(s) to overproduce cortical. 5 Doctors call this an “endogenous” (inside the body) cause of Cunning’s syndrome.

Cushing disease is the most common form of endogenous Cunning’s syndrome. It is caused by a tumor in the pituitary gland that secretes excessive amounts of a hormone called Traditionalistic hormone, or ACTA.

2. Your assessment includes the following fillings. Determine whether the findings are attributable to J. S. ‘s COOP or possible Cunning’s syndrome. Place an “L” beside the symptoms consistent with lung disease and a “C” next to those consistent with Cunning’s syndrome.

L- A. Barrel chest C- B. Full-looking face (“moon face”) pressure ( /Y mm Hag L- D.

Pursed-lip breathing, especially when patient is stressed C- E. Striate over trunk and thighs C- F.

Bruising on both arms C- G. Acne L- H. Diminished breath sounds throughout lungs C- l. Truncate obesity with supercritical and posterior upper back fat and thin extremities 3. You inform the physician of the patient’s S/S. The physician believes J.

S. Has developed Cushing syndrome and decides to discontinue documentation therapy. Identify possible consequences of suddenly stopping the documentation therapy.

Withdrawal symptoms: severe fatigue, weakness, body aches, and Joint pain. It takes weeks to months for the adrenal glands to start making cortical on their own again, so patient needs to taper off to allow time for body to start making cortical again on its own in the right amounts.

4. Cunning’s syndrome can affect memory. Patients can easily forget what medications have been taken, especially when there are several different drugs. List at least three ways you can help J. S.

Remember to take his pills as prescribed. 1- put all pills in a weekly or monthly pill box. – Set an alarm on his cell phone to remind him to take his pills. – Place the pillbox by toothbrush so that apt can see them every morning when brushing teeth. 5. J.

S. States that his appetite has increased but he is losing weight. He reports trying to eat, but he gets short of breath (SOB) and cannot eat any more. How would you address this problem? Tell the patient to eat several smaller more frequent meals. Drink after eating.

Eat high protein diet. Eat when well rested. 6. You advise J. S. To take his predations in the morning with food.

You ask him a series of questions RITE possible gastric discomfort, vision, and Joint pain. Discuss the rationale for your line of questioning. Predations can cause upset stomach. It can have serious side effect with vision problems. If it’s not helping with Joint pain then the dose may need altering.

8. Differentiate between the glorification and mineralogist’s effects of predations. Mortification’s= the name mineralogist’s derives from early observations that these hormones were involved in the retention of sodium, a mineral.

The primary endogenous mineralogist’s is lodestone, although a number of other endogenous hormones (including progesterone and corticosteroids) have mineralogist’s function. Alterations acts on the kidneys to provide active reapportion of sodium and an associated passive reapportion of water, as well as the active secretion of potassium in the principal cells AT ten cortical collecting tulle Ana active secretion AT protons Vela proton Tapes in the alumnae membrane of the intercalated cells of the collecting tubule.

This in turn results in an increase of blood pressure and blood volume. 000 Sociolinguistics= Corticosteroids (GO) are a class of steroid hormones that bind to he glorification receptor, which is present in almost every vertebrate animal cell. Cogs are part of the feedback mechanism in the immune system that turns immune activity (inflammation) down. They are therefore used in medicine to treat diseases that are caused by an overactive immune system, such as allergies, asthma, autoimmune diseases and sepsis.

Gas have many diverse (philanthropic) effects, including potentially harmful side effects. They also interfere with some of the abnormal mechanisms in cancer cells, so they are used in high doses to treat cancer.

Difference between Glorification receptors and Mineralogist’s receptors? Glorification have a high affinity for cortical and Mineralogist’s have a high affinity for Lodestone AND cortical. 9. How would your assessment change if J. S. Were taking a glorification that also has significant mineralogist’s activity?

I would look at potassium levels because he is taking fireside and this mineralogist’s.

I would also look into hypertension symptoms or hypertension symptoms. 10. Review J. S. ‘s list of medications.

Based on what you know about the side effects of pop diuretics and steroids, discuss the potential problem of administering these in combination with dioxin. Loop diuretics loose potassium and can alter sodium/water balance. Steroids cause increased cortical, which is anti-inflammatory, and it also increases levels of glucose in blood while raising BP.

It makes the patient at risk for infection. Diuretics lower BP while steroids can increase BP along with dioxin. Taking loop diuretics and dioxin can lead to dioxin toxicity, cardiac arrhythmia’s and electrolyte imbalances.

All three of those: diuretics, steroids, and dioxin lower autism levels in body. Hypoglycemia. They also enhance the levels of dioxin in the body so toxicity can occur easier. 1 1 . Realizing that patients like J. S.

Are susceptible to all types of infections, you write guidelines to prevent infection. Identify four major points that these guidelines will include.