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Where is aldosterone secreted? - ANSWERS-adrenal gland
what is hyperaldosteronism called? - ANSWERS-Conn's syndrome
Conn's syndrome - ANSWERS-increased Na, increased BP, decreased K+
What is hypoaldosteronism called? - ANSWERS-Addisons Disease
S/S of Addison's Disease? - ANSWERS-decreased Na, decreased BP, increased K+,
fatigue, muscle weakness, dark skin pigmentation, hypotension, hypoglycemia
s/s of Addisonian crisis - ANSWERS-decreased LOC, hypotension, flu like symptoms
(N/V)- call DR!!
treatment of Cushing's with pituitary tumor? - ANSWERS-transsphenoidal
hypophysectomy- check for clear fluid with halo/ glucose (CSF)
What is hypocortisolism? - ANSWERS-Congenital adrenal hyperplasia
, s/s of congenital adrenal hyperplasia? - ANSWERS-ambiguous genitalia- females:
masculine features, men- feminine features. Easier to visually see in women
tx of congenital adrenal hyperplasia - ANSWERS-steroid use
Normal serum osmolality - ANSWERS-280-295
What is serum osmolality? - ANSWERS-how concentrated blood is
with dehydration what will the concentration of serum osmolality be? - ANSWERS-
increased concentration
hypertonic blood - ANSWERS-increased concentration- ex: hyperglycemia with DKA
hypotonic blood - ANSWERS-decreased concentration- ex: fluid overload with SIADH
normal urine specific gravity - ANSWERS-1.005-1.030
example of low urine specific gravity - ANSWERS-DI (low concentration because the
urine is really diluted d/t excess urination)
example of high urine specific gravity - ANSWERS-SIADH (high urine concentration
because you are not peeing and holding onto fluids)
what is SIADH - ANSWERS-increased ADH secretion from the pituitary gland
s/s of SIADH - ANSWERS-hyponatremia- neuro (seizures, confusion), hypervolemia-
Swimming in fluids, HTN, fluid overload- listen for crackles
what is SIADH caused by? - ANSWERS-lung cancer/ tumor, hyponatremia