Cushing’s Syndrome (2 questions) → hypersecretion of ACTH (hormone that allows body to react to
stress)
● Signs & Symptoms → fatigue, muscle
... [Show More] weakness, weight gain, thinning extremities, thin &
fragile skin, moon face & ruddy complexion, hirsutism, truncal obesity, broad purple
striae,bruising, impaired wound healing, increased blood pressure & sodium,
hypokalemia, hyperglycemia, buffalo hump, DM
● Treatment → restore hormone balance by radiation, drug therapy or adrenalectomy (removal of
one or both adrenal glands)
● Nursing Considerations → Frequently monitor VS (especially BP), monitor labs for electrolyte
changes, monitor daily weight, check for signs of infection, perform passive range of motion
forthose that have osteoporosis or are bedridden
○ Post-surgery nursing considerations → encourage coughing & deep breathing, monitor
for shock & HTN, administer cortisone as ordered
○ Diet → High in protein & potassium, but low in carbs & sodium, high calcium + vit. D
2. Hepatitis (3 questions) → inflammation of the liver that causes liver cell damage
○ https://www.youtube.com/watch?v=eocRM7MhF68
○ Chronic hepatitis (> 6 months) can lead to cirrhosis of the liver
● Causes → bacteria, toxins or viruses , 6 viral types → A, B, C, D, E, G
● Hepatitis A & E → fecal to oral (shellfish from contaminated waters is a major source)
● Hep. A stages
○ Pre-icteric: malaise, N/V, anorexia
○ Icteric: jaundice, clay colored stool, tea colored urine
○ Convalescent: SX resolves
● Hepatitis B,C, D & G → parenteral drug abuse, sex, blood & body fluids,
● Signs & Symptoms → jaundice, anorexia, RUQ pain (due to hepatomegaly), clay-colored
stools, tea-colored urine (due to bilirubin leakage), apendicitispruritus, elevated LFT’s (AST
& ALT) & prolonged PT
● Treatment → symptomatic → vitamin K, anti-histamines, corticosteroids, anti-emetics &
apply calamine lotion
● Nursing Interventions → improve sanitation, vaccination, no ETOH, instruct pt to balance rest
and activity, patient cannot donate blood! HAND WASHING #1!
● Diet: low in fat, high in carbs and protein [Show Less]