Addison's disease is an endocrine or hormonal disorder that occurs in all age groups and afflicts men and women equally. This disease has the characteristics: weight loss, muscle weakness, fatigue, low blood pressure, and sometimes darkening of the skin on both parts of the body that is open and not open.
Symptoms
- Changes in blood pressure or heart rate
- Chronic diarrhea, nausea, and vomiting, or loss of appetite resulting in weight loss
- Darkening of the skin in some places, causing the skin to look patchy
- Paleness
- Extreme weakness, fatigue, and slow, sluggish movement
- Mouth lesions on the inside of a cheek (buccal mucosa)
- Salt craving
Nursing Diagnosis for Addison's Disease : Fluid Volume Deficit related to imbalance of input and output
Outcomes:
- Adequate urine output
- Vital signs within normal limits
- Clear peripheral pulse pressure of less than 3 seconds
- Elastic skin turgor
- Capillary filling up less than 3 seconds
- Mucous membranes moist
- Skin color: not pale
- No thirst
Nursing Interventions :
1. Monitor vital signs, record changes in blood pressure on changing position, the strength of the peripheral arteries.
Rational: Postural hypotension is part of the hormone aldosterone deficiency due hiporolemia and decreased cardiac output as a result of a decrease in cholesterol.
2. Measure weight client
Rationale: Providing mind the need for replacement fluid volume and effectiveness of treatment, rapid weight gain caused by fluid retention and sodium associated with treatment strois.
3. Assess the patient's thirst, fatigue, rapid pulse, capillary refill elongated, poor skin turgor, dry mucous membranes, skin color and temperature record.
Rational: to identify the influence of hypothermia and volume needs replacement.
4. Check the status of mental and sensory.
Rational: severe dehydration lowers cardiac output, and tissue perfusion especially severe brain tissue.
5) Auscultation bowel (intestinal peristalsis) record and report the presence of nausea, vomiting and diarrhea.
Rational: damage to gastrointestinal function may improve fluid and electrolyte loss and affects the way for the administration of fluids and nutrients.
6. Provide regular oral care
Rational: help reduce discomfort caused from dehydration and maintain mucous membrane damage.
7. Give oral fluids 1500cc - 2000cc / day as soon as possible, in accordance with the client's ability.
Rational: the repair and return of gastrointestinal function of the digestive fluids allows fluids and electrolytes.
