too much thyroid hormone

increased metabolic rate

increased beta receptors

Primary hypothyroidtoo much TH

Secondarytoo much TSH

autoimmune

goiter

pituitary tumorsecondary

synthroid overdose

heat intolerance

hypermetabolic state

incr. appetite w/ wt loss

frequent stools

nervousness

tachycardia

HF

warm smooth skin

exopthalmus

thyrotoxic crisis

hypothyroidism after thyroidremoval or treatment

subtotal thyroidectomy

antithyroid meds

hyperthermia

diarrhea

disturbed sleep pattern

Anxiety

Risk for injury

imbalanced nutrition:less thanbody requirements

PrimaryACTH to stimulatecortex into producing

Secondarydecreased ACTH does notencourage adrenals to produceenough

Decreased aldosterone

Decreased Cortisol

Serum and urine cortisol levels decreased

Blood sugardecreased

ElectrolytesNalow, K+high

BUN/HCTelevated due to dehydration

Glucocorticoidshydrocortisone

mineralocorticoidsfludrocortisone

Adrenal Crisisin times of extreme stress

monitor daily wt., I & O, glucose, electrolytes

increased adrenal cortex hormoneswithout regart to time of day orstress

cushings syndrome is a group of disease like S/S thatmimic the disease but are caused by excesscortisol/glucocorticoid therapy (Moon face caused byprednisone therapy)

Cushing's disease is caused bytoo much ACTH in the pituitary

Weight gein/truncal obesity

thin arms and legs/muscle wasting

purple striaecatabolic effect on tissue

Buffalo hump

moon face

secondary DM

osteoporosis

fractures

mental status changessteroid psychosis

increased risk ofinfectionimmunosupresseddelayed woundhealing

Naand H2O retentionincreased aldosterone

hypokalemia

appearance

increased plasma and urine cortisol

increased ACTH

dexamethasone supression test

ElectrolyteslowK, high na and glucose

Surgeryremove pituitary tumor ***Adminsteroid hormone first to prevent adrenalcrisis

remove adrenal gland or radiate it

if caused by steroidtherapydecrease dose or adminqod

symptom controllasix todecrease fluid retention**mustgive K+

Hi K+, Low Na diet

Monitor blood sugar