NR 567 Week 5 Discussion; Case Scenario Discussion; Addison's Disease Medication
0 vista 0 veces vendidas
Grado
NR 567
Institución
Chamberlain College Of Nursing
Trina Pullman is a 24-year old female with a history of hypothyroidism, with a 3-month historyof persistent vomiting, followed by the gastroenterology service, thought to have gastritis basedon the upper endoscopy report. She continued to have vomiting and weight loss, presented to theemergency dep...
nr 567 week 5 discussion case scenario discussion addisons disease medication
case scenario discussion addisons disease medication
Escuela, estudio y materia
Chamberlain College Of Nursing
NR 567
Todos documentos para esta materia (100)
Vendedor
Seguir
Courseprof
Comentarios recibidos
Vista previa del contenido
NR 567 Week 5 Discussion;
Case Scenario Discussion;
Addison's Disease Medication
, Trina Pullman is a 24-year old female with a history of hypothyroidism, with a 3-month history
of persistent vomiting, followed by the gastroenterology service, thought to have gastritis based
on the upper endoscopy report. She continued to have vomiting and weight loss, presented to the
emergency department, found to be hypotensive, tachycardic and thin. Her serum labs
demonstrated hyponatremia, normal potassium levels, and a random cortisol level that was very
low. Thyroid stimulating hormone was normal. CBC was unremarkable, UA normal, negative
pregnancy test. Serum glucose, liver function tests and renal function were normal. She was
thought to have Addison's disease, with a plan to admit to the hospital for further workup and
treatment. You are the hospitalist AGACNP admitting the patient. What one medication would
you initiate on this admission to treat the Addison's disease?
Past Medical History:
• Hypothyroid
• Gastritis
• Social History:
o Smoker 2-3 cigarettes socially on weekends
o Recreational drug use-none
o ETOH-none
o Single, no children
o Employed as hairdresser
Medications
• Protonix 40mg po daily
• Levothyroxine 100 mcg po daily
Allergies
• None
Physical Exam
• Vitals: Pulse 104; Resp 18; BP 96/50; SpO2 98%; Temp 37 °C (98.6 °F); Wt. 65kg; Ht.
5'6".
• Constitutional: Alert, no acute distress. Thin.
• HEENT: Head is normocephalic and atraumatic. Eyes without icterus or injection.
Mucous membranes pink and dry. Neck is supple, nontender without adenopathy.
No
JVD. No meningismus.
• Resp: Lungs clear to auscultation bilaterally without wheezes, rales or rhonchi. No
increased work of breathing.
• Cardiovasc: S1S2 without murmur, rub or gallop. Regular rate and regular rhythm.
Pedal pulses 2+ and equal. No edema.
• Abd/GI: Soft, non-tender, nondistended. No masses.
Los beneficios de comprar resúmenes en Stuvia estan en línea:
Garantiza la calidad de los comentarios
Compradores de Stuvia evaluaron más de 700.000 resúmenes. Así estas seguro que compras los mejores documentos!
Compra fácil y rápido
Puedes pagar rápidamente y en una vez con iDeal, tarjeta de crédito o con tu crédito de Stuvia. Sin tener que hacerte miembro.
Enfócate en lo más importante
Tus compañeros escriben los resúmenes. Por eso tienes la seguridad que tienes un resumen actual y confiable.
Así llegas a la conclusión rapidamente!
Preguntas frecuentes
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
100% de satisfacción garantizada: ¿Cómo funciona?
Nuestra garantía de satisfacción le asegura que siempre encontrará un documento de estudio a tu medida. Tu rellenas un formulario y nuestro equipo de atención al cliente se encarga del resto.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Courseprof. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for $17.49. You're not tied to anything after your purchase.