NUR 152 6

Cushing's Too much cortisone steroid Signs and Symptoms

Treatment for Cushing's Disease

Surgical removal or radiation of the adrenal gland

Surgical removal or radiation therapy to the pituitary gland

Lower dose of steroid

Ketoconazole -block production of adrenal steroid

Change schedule of administration

Symptom control

Potassium Supplement

Low sodium, high potassium high protein diet

Nursing intervention for Cushing Disease

Cushing Disease Client Teaching

Teach low sodium high potassium diet

Good hand hygeine

Avoids others who are ill

Get vaccinated flu, pneumonia

Treatment of Diabetes Insipidus

Hypotonic IV fluids replace Intravascular volume

Hypophysectomy removal of pituitary or tumor

IV or SQ Vasopressin replacement of ADH

DDAVP synthetic Administered PO SQ or Intranasally

Thiazide diuretics if nephrogenic

Daily weight I&O

Incresase fluids

Monitor for weakness, B/P, H/R

Urine specific gravity

Interventions of Diabetes Insipidus

Client education for Diabetes Insipidus

SIADS too much ADH *** Soaked Inside

TReatment of SIADH

Eliminate Cause

Surgical removal of tumor

Fluid restriction 800-1000ml per 24 hrs

Hypertonic saline iv and oral salt

Lasix to increase water secretions

Conivaptan (Vaprisol) to block action of ADH in kidneys

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