The Onset Of The Disease - 977 Words

The onset of the disease usually occurs when 90 % or more of both adrenal cortices are destroyed (Griffing Khardori, 2014). Several hormones function are compromised due to the impairment of the adrenal cortex. This hormones are glucocorticoids that are essential in cell metabolism, aldosterone mineralocorticoids which are the main regulator of sodium and potassium levels in the blood as well fluid balance in our body and androgens the sex hormones are all affected with Addison’s disease. This explain why Ms. Thomas cortisol level, blood pressure, blood glucose, blood sodium, are all low and her blood urea nitrogen (BUN) and blood potassium are all high. In addition she is showing classic symptoms of the disease crisis. Since the lab results, vital signs and the diagnosis are available, she will be prepare for the treatments and possible further tests. An IV access with a size number twenty gauge catheter and IV pump should be ready for IV infusion. According to NIDDK, the standard treatment therapy involves immediate IV injections of corticosteroids and large volumes of IV saline solution with dextrose. Her cortisol will be replaced with a corticosteroid, such as hydrocortisone, prednisone or dexamethasone depending on the physicians order. Aldosterone is replaced with oral doses of a mineralocorticoid hormone such as fludrocortisone acetate commonly known as Florinef. (NIH, 2014) Ms. Thomas will be on heart monitor due to her hypotension, mild tachycardia andShow MoreRelatedPreventing The Onset Of Disease939 Words   |  4 PagesPrimary prevention is concerned with preventing the onset of disease; it aims to reduce the incidence of disease. It involves â€Å"... health promotion, such as health education and a good standard of nutrition adjusted to developmental phases of life, and specific protection, such as the use of specific immunizations and use of specific nutrients† (Edelman et al., 2014 pg. 12). 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