Materiały źródłowe

• #1 Cushing Disease (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568708/

  Cushing disease is a rare disorder characterized by increased adrenocorticotropic hormone (ACTH) production from the anterior pituitary, leading to excess cortisol release from the adrenal glands. […] Recall the nursing care plans for Cushing disease. […] Nursing Management includes assessing vitals, heart and lung status, performing 12 lead ECG, assessing neurovitals, checking electrolytes, weighing the patient, managing blood glucose levels, and monitoring for signs of infection. […] Without treatment, Cushing disease is ultimately fatal. The mortality is due to the excess production of glucocorticoids, which can lead to many medical problems, including impairment in immune function. For patients who undergo surgery, lifelong treatment with glucocorticoids is necessary. […] Cushing disease is a rare pituitary gland disorder best managed by a multidisciplinary team that includes a neurosurgeon, radiation consultant, endocrinologist, radiologist, primary care provider, nurse practitioner, and an internist. These patients are prone to several complications, including peptic ulcer disease, weight gain, osteoporosis, diabetes, depressed immune system, and hypertension. Hence the patient has to be closely monitored.

• #2 Cushing Syndrome: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5497-cushing-syndrome

  Cushing syndrome can possibly be fatal if you dont get treatment. Without treatment, hypercortisolism can cause health problems, including: […] If left untreated, Cushing syndrome can also result in death. […] The type of treatment depends on the underlying cause of the high cortisol levels. If you use glucocorticoids, your healthcare provider will likely lower the dosage or prescribe a non-glucocorticoid medication. […] If a tumors causing Cushing syndrome, your provider may suggest surgery or radiation. […] Another option is for your healthcare provider to prescribe a medication such as ketoconazole thatll slow down the production of cortisol. […] If Cushing syndrome is properly treated, the disease may go away after two to 18 months. Be sure to stay in contact with your healthcare provider during and after this period. […] Cushing syndrome can be a difficult syndrome to endure. It causes weakness, hypertension, fatigue and more. The treatments including surgery, medications, radiation and chemotherapy may be uncomfortable. However, theyre worth it because, with the right treatment, theres a cure for Cushing syndrome.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abl2533

  Cushing’s syndrome is a rare hormonal problem. It happens when there is too much of the hormone cortisol in your body. […] Treatment depends on the cause of the syndrome. If it’s caused by steroid medicine, your doctor may change the amount of medicine you take. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Eat a healthy diet that is high in protein and calcium. This can help prevent muscle and bone loss caused by the high cortisol levels in your body. […] Limit salt (sodium) in your diet. This is very important if you have high blood pressure because of Cushing’s syndrome. […] Get regular eye exams to check for glaucoma and cataracts. […] See your doctor regularly to help diagnose and treat diabetes, high blood pressure, and other possible complications. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected. […] Your symptoms, such as weight gain or hair growth, are getting worse.

• #4 Cushing Syndrome: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5497-cushing-syndrome

  Cushing syndrome can possibly be fatal if you dont get treatment. Without treatment, hypercortisolism can cause health problems, including: […] If left untreated, Cushing syndrome can also result in death. […] The type of treatment depends on the underlying cause of the high cortisol levels. If you use glucocorticoids, your healthcare provider will likely lower the dosage or prescribe a non-glucocorticoid medication. […] If a tumors causing Cushing syndrome, your provider may suggest surgery or radiation. […] Another option is for your healthcare provider to prescribe a medication such as ketoconazole thatll slow down the production of cortisol. […] If Cushing syndrome is properly treated, the disease may go away after two to 18 months. Be sure to stay in contact with your healthcare provider during and after this period. […] Cushing syndrome can be a difficult syndrome to endure. It causes weakness, hypertension, fatigue and more. The treatments including surgery, medications, radiation and chemotherapy may be uncomfortable. However, theyre worth it because, with the right treatment, theres a cure for Cushing syndrome.

• #5 Patient education: Cushing syndrome (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/cushing-syndrome-beyond-the-basics

  Cushing syndrome occurs when there is an excess of cortisol, a hormone produced by the adrenal glands. […] Today, virtually all people with Cushing syndrome can be treated effectively, and many can be cured. Because Cushing syndrome is potentially fatal if untreated, people with this condition should have regular medical care and follow their treatment plan closely. […] The treatment of Cushing syndrome is discussed separately.

• #6 Cushing’s Syndrome Nursing Care Management and Study Guide

  https://nurseslabs.com/cushings-syndrome/

  The nurse must closely monitor the patient with Cushings syndrome to avoid complications. […] Assessment focus on the effects on the body of high concentrations of adrenal cortex to respond to changes in cortisol and aldosterone levels. […] Based on the assessment data, the major nursing diagnoses of the patient with Cushings syndrome include: Risk for injury related to weakness. […] The major nursing goals for the patient include: Decrease risk of injury. […] Nursing interventions for a patient with Cushings syndrome include: Provide a protective environment to prevent falls, fractures, and other injuries to bones and soft tissues. […] Monitor blood glucose levels, and assess stools for blood because diabetes mellitus and peptic ulcer are common problems. […] Discuss the impact that changes have had on patients self-concept and relationships with others. […] Present information about Cushing syndrome verbally and in writing to patient and family. […] The patient and the family should be informed that adrenal insufficiency and underlying symptoms may recur if discharge orders are not complied.

• #7 Cushing Disease (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568708/

  Cushing disease is a rare disorder characterized by increased adrenocorticotropic hormone (ACTH) production from the anterior pituitary, leading to excess cortisol release from the adrenal glands. […] Recall the nursing care plans for Cushing disease. […] Nursing Management includes assessing vitals, heart and lung status, performing 12 lead ECG, assessing neurovitals, checking electrolytes, weighing the patient, managing blood glucose levels, and monitoring for signs of infection. […] Without treatment, Cushing disease is ultimately fatal. The mortality is due to the excess production of glucocorticoids, which can lead to many medical problems, including impairment in immune function. For patients who undergo surgery, lifelong treatment with glucocorticoids is necessary. […] Cushing disease is a rare pituitary gland disorder best managed by a multidisciplinary team that includes a neurosurgeon, radiation consultant, endocrinologist, radiologist, primary care provider, nurse practitioner, and an internist. These patients are prone to several complications, including peptic ulcer disease, weight gain, osteoporosis, diabetes, depressed immune system, and hypertension. Hence the patient has to be closely monitored.

• #8 Nursing Care Plan (NCP) for Cushing’s Disease | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-cushings-disease

  Cushing’s Disease Nursing Care Plan […] Outline nursing care strategies, focusing on patient education about medication management, potential side effects, and the importance of regular follow-ups. Emphasize the role of emotional support. […] Regularly monitor blood pressure, heart rate, and respiratory rate, as hypertension and tachycardia are common manifestations of Cushing’s syndrome. […] Administer medications as prescribed, such as adrenal enzyme inhibitors (e.g., ketoconazole, metyrapone) or surgery (transsphenoidal resection of pituitary adenoma), to reduce cortisol levels. […] Educate the patient on the importance of medication adherence, potential side effects, and the need for regular follow-up appointments for monitoring and adjustments. […] Provide emotional and psychological support to the patient, as Cushing’s Disease can impact mental health. Collaborate with mental health professionals to address mood disorders or anxiety. […] Monitor for signs of infection […] Prepare patient for surgery to treat disease […] Promote rest […] Manage blood glucose level

• #9 Cushing Disease (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK568708/

  Cushing disease is a rare disorder characterized by increased adrenocorticotropic hormone (ACTH) production from the anterior pituitary, leading to excess cortisol release from the adrenal glands. […] Recall the nursing care plans for Cushing disease. […] Nursing Management includes assessing vitals, heart and lung status, performing 12 lead ECG, assessing neurovitals, checking electrolytes, weighing the patient, managing blood glucose levels, encouraging bed rest, monitoring for signs of infection, checking skin integrity, administering antihypertensive drugs and diuretics as ordered, educating the patient about the disease, and encouraging follow-up with a clinician. […] Without treatment, Cushing disease is ultimately fatal. The mortality is due to the excess production of glucocorticoids, which can lead to many medical problems, including impairment in immune function. For patients who undergo surgery, lifelong treatment with glucocorticoids is necessary.

• #10 Cushing’s Syndrome Nursing Care Plan & Management

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cushings-syndrome/

  Cushings Syndrome Nursing Care Plan Management […] Cushings Syndrome results from excessive secretion of one or all of the adrenocortical hormones which includes glucocorticoid cortisol (predominant type), the mineralocorticoid aldosterone, and the adrogenital corticoids. […] Cushing syndrome can also be caused by the following: Tumor of the pituitary gland or adrenal gland, Tumor elsewhere in the body (ectopic Cushing syndrome). […] Signs and symptoms of excess glucocorticoid (cortisol) secretion: Weight gain or obesity, Heavy trunk; thin extremities, Fat pad (Buffalo Hump) in neck and supraclavicular area, Rounded face (moon face); plethoric, oily complexion, Skin fragile and thin; striae and ecchymosis, acne, Musculoskeletal muscle wasting causes by excessive catabolism, osteoporosis, characteristic kyphosis, back ache, Mental disturbances mood changes, psychosis, Increased susceptibility to infections. […] Primary Nursing Diagnosis: Fluid volume excess related to abnormal retention of sodium and water. […] Nursing Intervention: Monitor intake and output, daily weights, and serum glucose and electrolytes. Monitor for signs of infection because risk is high with excess glucocorticoids. After hypophysectomy, monitor for diabetes insipidus, hypothyroidism, and other endocrine changes. Assess the skin frequently to detect reddened areas, skin breakdown or tearing, excoriation, infection or edema. Handle skin and extremity gently to prevent trauma; prevent falls by using siderails. […] Documentation Guidelines: Physical response: Vital signs, neurological assessment, cardiopulmonary assessment, wound healing, signs of infection (fever, wound drainage, productive cough), important laboratory deviations (serious electrolyte imbalances, alterations in glucose levels). […] Nursing Diagnosis: Risk for injury and Risk for infection related to weakness and changes in protein metabolism and inflammatory response, Self-care Deficit: weakness, feeling of tiredness, muscle atrophy and changes in sleep patterns, Impaired skin integrity related to edema, impaired healing and the skin is thin and fragile, Disturbed Body Image related to changes in physical appearance, sexual dysfunction and decreased activity levels, Disturbed Thought Processes related to fluctuations in emotions, irritability and depression.

• #11 Cushing’s Syndrome Assessment – Adrenal Disorders for Nursing RN

  https://www.picmonic.com/pathways/nursing/courses/standard/medical-surgical-nursing-pathophysiology-296/adrenal-disorders-1416/cushings-syndrome-assessment_1682

  Cushing’s syndrome is a condition caused by excessive amounts of the hormone cortisol being produced in the body. […] In Cushings syndrome, the adrenal glands are signaled to keep making cortisol, thereby increasing normal levels. Manifestations of this condition are related to the increased cortisol levels in the body. This includes obvious changes in physical appearance. […] Weight gain is the most common symptom in Cushings syndrome, particularly in the chest and stomach (truncal obesity). […] Excessive amounts of cortisol can lead to decreased bone density causing osteoporosis and back pain. Additionally, muscle wasting may occur, causing weakness, especially in the extremities. […] It is important to be aware that patients with Cushing’s syndrome/disease are often immunosuppressed. This places them at increased risk for infection related to their lowered resistance to stress and suppression of the immune system.

• #12 Cushing’s Disease/Syndrome Nursing Review

  https://www.registerednursern.com/cushings-disease-syndrome-nursing/

  Cushings occurs due to elevated cortisol secretion within the body. […] Nursings Role with Cushings […] Management: Low sodium diet; foods rich in calcium, vitamin D, and potassium. […] Increased Glucose and Sodium […] Decreased Potassium and Calcium […] CBC: Increased white blood cells indicating infection, with symptoms such as fever, cough, fatigue, and slow wound healing. […] Elevated Cortisol Levels: Cortisol levels naturally vary throughout the day, being highest in the morning and lowest at midnight. In Cushings disease, cortisol levels are elevated and do not fluctuate. […] ACTH (Adrenocorticotropic Hormone) Blood Test: Results vary depending on the cause of high cortisol levels. […] Elevated ACTH: Indicative of Cushings disease (pituitary gland cause). […] Decreased ACTH: Indicative of Cushings syndrome (adrenal glands or chronic corticosteroid usage).

• #13 9 Cushing’s Disease Nursing Care Plan – Nurseslabs

  https://nurseslabs.com/cushings-disease-nursing-care-plan/

  Monitoring the results of diagnostic and laboratory procedures is essential in the management of patients with Cushings disease. These procedures help assess the disease severity, monitor treatment response, and detect any potential complications. […] These nursing interventions aim to assess and monitor potential complications in patients with Cushings disease, allowing for early detection, timely intervention, and improved patient outcomes.

• #14 Cushing’s Syndrome Nursing Care Management and Study Guide

  https://nurseslabs.com/cushings-syndrome/

  The nurse must closely monitor the patient with Cushings syndrome to avoid complications. […] Assessment focus on the effects on the body of high concentrations of adrenal cortex to respond to changes in cortisol and aldosterone levels. […] Based on the assessment data, the major nursing diagnoses of the patient with Cushings syndrome include: Risk for injury related to weakness. […] The major nursing goals for the patient include: Decrease risk of injury. […] Nursing interventions for a patient with Cushings syndrome include: Provide a protective environment to prevent falls, fractures, and other injuries to bones and soft tissues. […] Monitor blood glucose levels, and assess stools for blood because diabetes mellitus and peptic ulcer are common problems. […] Discuss the impact that changes have had on patients self-concept and relationships with others. […] Present information about Cushing syndrome verbally and in writing to patient and family. […] The patient and the family should be informed that adrenal insufficiency and underlying symptoms may recur if discharge orders are not complied.

• #15 Cushing’s Syndrome Nursing Care Plan & Management

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cushings-syndrome/

  Cushings Syndrome Nursing Care Plan Management […] Cushings Syndrome results from excessive secretion of one or all of the adrenocortical hormones which includes glucocorticoid cortisol (predominant type), the mineralocorticoid aldosterone, and the adrogenital corticoids. […] Cushing syndrome can also be caused by the following: Tumor of the pituitary gland or adrenal gland, Tumor elsewhere in the body (ectopic Cushing syndrome). […] Signs and symptoms of excess glucocorticoid (cortisol) secretion: Weight gain or obesity, Heavy trunk; thin extremities, Fat pad (Buffalo Hump) in neck and supraclavicular area, Rounded face (moon face); plethoric, oily complexion, Skin fragile and thin; striae and ecchymosis, acne, Musculoskeletal muscle wasting causes by excessive catabolism, osteoporosis, characteristic kyphosis, back ache, Mental disturbances mood changes, psychosis, Increased susceptibility to infections. […] Primary Nursing Diagnosis: Fluid volume excess related to abnormal retention of sodium and water. […] Nursing Intervention: Monitor intake and output, daily weights, and serum glucose and electrolytes. Monitor for signs of infection because risk is high with excess glucocorticoids. After hypophysectomy, monitor for diabetes insipidus, hypothyroidism, and other endocrine changes. Assess the skin frequently to detect reddened areas, skin breakdown or tearing, excoriation, infection or edema. Handle skin and extremity gently to prevent trauma; prevent falls by using siderails. […] Documentation Guidelines: Physical response: Vital signs, neurological assessment, cardiopulmonary assessment, wound healing, signs of infection (fever, wound drainage, productive cough), important laboratory deviations (serious electrolyte imbalances, alterations in glucose levels). […] Nursing Diagnosis: Risk for injury and Risk for infection related to weakness and changes in protein metabolism and inflammatory response, Self-care Deficit: weakness, feeling of tiredness, muscle atrophy and changes in sleep patterns, Impaired skin integrity related to edema, impaired healing and the skin is thin and fragile, Disturbed Body Image related to changes in physical appearance, sexual dysfunction and decreased activity levels, Disturbed Thought Processes related to fluctuations in emotions, irritability and depression.

• #16 Cushing’s Syndrome Nursing Diagnosis & Care Plan – NurseStudy.Net

  https://nursestudy.net/cushing-syndrome-nursing-diagnosis/

  Cushings syndrome presents unique challenges for nursing care, requiring a comprehensive understanding of its pathophysiology, symptoms, and management strategies. […] Comprehensive nursing assessment is crucial for patients with Cushings syndrome. The following steps should be taken: […] Effective nursing interventions are essential for managing Cushings syndrome and improving patient outcomes. The following interventions should be implemented: […] The following nursing care plans address common problems associated with Cushings syndrome: […] Nursing Diagnosis: Risk for Impaired Skin Integrity related to effects of hypercortisolism on skin structure and healing processes. […] Nursing Diagnosis: Imbalanced Nutrition: More Than Body Requirements related to altered metabolism and increased appetite secondary to hypercortisolism.

• #17 9 Cushing’s Disease Nursing Care Plan – Nurseslabs

  https://nurseslabs.com/cushings-disease-nursing-care-plan/

  Goals and expected outcomes may include: The client will be normovolemic as evidenced by stable weight (or loss attributed to fluid loss), urinary output 30ml/hr or greater, balanced intake and output, absence or reduction of edema, HR less than 100 beats per minute, and absence signs of pulmonary congestion. The client will be free of fractures or soft tissue injuries. The client will implement measures to prevent injury. The client will identify interventions to prevent the risk of infection. The client will display an absence of infection as evidenced by normal body temperature and normal white blood cell count. The client will verbalize an understanding of Cushings disease and guidelines for therapy. The client will implement appropriate therapy. The client will verbalize feelings about the changes in appearance, sexual function and activity level. The client will demonstrate enhanced body image and self-esteem as evidenced by ability to look at, touch, talk about, and care for actual and perceived altered body parts and functions. The client will exhibit normal thought processes and improve mentation.

• #18  Cushing’s Syndrome – Nurses Revision

  https://nursesrevisionuganda.com/cushings-syndrome/

  Nursing care plan for Cushings syndrome: […] Nursing Diagnosis […] Goals/Expected Outcomes […] Interventions […] Rationale […] Evaluation […] 1. Patient presents with central obesity, moon face, and buffalo hump. […] Distrupted Body Image related to changes in physical appearance as evidenced by patient expressing dissatisfaction with appearance. […] The patient will verbalize acceptance of body changes and demonstrate positive body image behaviors. […] Provide emotional support and encourage the patient to express feelings about body image changes. […] Involve the patient in grooming and self-care activities to enhance self-esteem. […] Refer to a counselor or support group specializing in chronic illness and body image issues. […] Emotional support helps the patient cope with body changes.

• #19 Cushing’s Syndrome Nursing Care Management and Study Guide

  https://nurseslabs.com/cushings-syndrome/

  The nurse must closely monitor the patient with Cushings syndrome to avoid complications. […] Assessment focus on the effects on the body of high concentrations of adrenal cortex to respond to changes in cortisol and aldosterone levels. […] Based on the assessment data, the major nursing diagnoses of the patient with Cushings syndrome include: Risk for injury related to weakness. […] The major nursing goals for the patient include: Decrease risk of injury. […] Nursing interventions for a patient with Cushings syndrome include: Provide a protective environment to prevent falls, fractures, and other injuries to bones and soft tissues. […] Monitor blood glucose levels, and assess stools for blood because diabetes mellitus and peptic ulcer are common problems. […] Discuss the impact that changes have had on patients self-concept and relationships with others. […] Present information about Cushing syndrome verbally and in writing to patient and family. […] The patient and the family should be informed that adrenal insufficiency and underlying symptoms may recur if discharge orders are not complied.

• #20 Cushing’s Syndrome Nursing Care Management and Study Guide

  https://nurseslabs.com/cushings-syndrome/

  The nurse must closely monitor the patient with Cushings syndrome to avoid complications. […] Assessment focus on the effects on the body of high concentrations of adrenal cortex to respond to changes in cortisol and aldosterone levels. […] Based on the assessment data, the major nursing diagnoses of the patient with Cushings syndrome include: Risk for injury related to weakness. […] The major nursing goals for the patient include: Decrease risk of injury. […] Nursing interventions for a patient with Cushings syndrome include: Provide a protective environment to prevent falls, fractures, and other injuries to bones and soft tissues. […] Monitor blood glucose levels, and assess stools for blood because diabetes mellitus and peptic ulcer are common problems. […] Discuss the impact that changes have had on patients self-concept and relationships with others. […] Present information about Cushing syndrome verbally and in writing to patient and family. […] The patient and the family should be informed that adrenal insufficiency and underlying symptoms may recur if discharge orders are not complied.

• #21 Med-Surg: Cushing’s Syndrome (Glucocorticoid Hormone Excess)

  https://leveluprn.com/blogs/medical-surgical-nursing/endocrine-system-12-glucocorticoid-hormone-excess-cushings-syndrome?srsltid=AfmBOoq2iMhiOUrfNWtv9rIgTpXHI4q1xMFNOhEW9X9TN-BZQ1fi7_XC

  Nursing care for Cushings syndrome includes dietary restrictions, specifically fluid and sodium, while encouraging increased intake of potassium, calcium, and protein. […] A patient with Cushings syndrome needs to be monitored for fluid-volume overload and pulmonary edema. […] A patient with Cushings syndrome has fragile skin. […] This patient should also be protected from bone fractures because of the side effect of bone loss that comes with Cushings syndrome. […] This patient needs to be protected from GI bleeding since they are at increased risk for this to happen. […] Finally, we want to prevent infection in a patient with Cushings syndrome because their immune response is decreased.

• #22 9 Cushing’s Disease Nursing Care Plan – Nurseslabs

  https://nurseslabs.com/cushings-disease-nursing-care-plan/

  Therapeutic interventions and nursing actions for patients with Cushings disease may include: Preventing Fluid Overload. Individuals diagnosed with Cushings disease face a potential threat of fluid overload owing to various factors. Among these, heightened cortisol levels can lead to the retention of sodium and water, as well as hinder proper cardiac function. […] Patients with Cushings disease are at increased risk for injury due to different factors related to the condition. Excess cortisol levels can lead to muscle weakness and wasting, which can increase the risk of falls and other injuries. […] Patients with Cushings disease may have an increased risk of infection due to the effects of excess cortisol on the immune system. Cortisol is a hormone produced by the adrenal glands, and in excess amounts, it can suppress the immune systems ability to fight infections.

• #23 Cushing’s Syndrome Nursing Care Management and Study Guide

  https://nurseslabs.com/cushings-syndrome/

  The nurse must closely monitor the patient with Cushings syndrome to avoid complications. […] Assessment focus on the effects on the body of high concentrations of adrenal cortex to respond to changes in cortisol and aldosterone levels. […] Based on the assessment data, the major nursing diagnoses of the patient with Cushings syndrome include: Risk for injury related to weakness. […] The major nursing goals for the patient include: Decrease risk of injury. […] Nursing interventions for a patient with Cushings syndrome include: Provide a protective environment to prevent falls, fractures, and other injuries to bones and soft tissues. […] Monitor blood glucose levels, and assess stools for blood because diabetes mellitus and peptic ulcer are common problems. […] Discuss the impact that changes have had on patients self-concept and relationships with others. […] Present information about Cushing syndrome verbally and in writing to patient and family. […] The patient and the family should be informed that adrenal insufficiency and underlying symptoms may recur if discharge orders are not complied.

• #24 Med-Surg: Cushing’s Syndrome (Glucocorticoid Hormone Excess)

  https://leveluprn.com/blogs/medical-surgical-nursing/endocrine-system-12-glucocorticoid-hormone-excess-cushings-syndrome?srsltid=AfmBOoq2iMhiOUrfNWtv9rIgTpXHI4q1xMFNOhEW9X9TN-BZQ1fi7_XC

  Nursing care for Cushings syndrome includes dietary restrictions, specifically fluid and sodium, while encouraging increased intake of potassium, calcium, and protein. […] A patient with Cushings syndrome needs to be monitored for fluid-volume overload and pulmonary edema. […] A patient with Cushings syndrome has fragile skin. […] This patient should also be protected from bone fractures because of the side effect of bone loss that comes with Cushings syndrome. […] This patient needs to be protected from GI bleeding since they are at increased risk for this to happen. […] Finally, we want to prevent infection in a patient with Cushings syndrome because their immune response is decreased.

• #25 9 Cushing’s Disease Nursing Care Plan – Nurseslabs

  https://nurseslabs.com/cushings-disease-nursing-care-plan/

  Therapeutic interventions and nursing actions for patients with Cushings disease may include: Preventing Fluid Overload. Individuals diagnosed with Cushings disease face a potential threat of fluid overload owing to various factors. Among these, heightened cortisol levels can lead to the retention of sodium and water, as well as hinder proper cardiac function. […] Patients with Cushings disease are at increased risk for injury due to different factors related to the condition. Excess cortisol levels can lead to muscle weakness and wasting, which can increase the risk of falls and other injuries. […] Patients with Cushings disease may have an increased risk of infection due to the effects of excess cortisol on the immune system. Cortisol is a hormone produced by the adrenal glands, and in excess amounts, it can suppress the immune systems ability to fight infections.

• #26 Cushing’s Syndrome Nursing Care Plan & Management

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cushings-syndrome/

  Cushings Syndrome Nursing Care Plan Management […] Cushings Syndrome results from excessive secretion of one or all of the adrenocortical hormones which includes glucocorticoid cortisol (predominant type), the mineralocorticoid aldosterone, and the adrogenital corticoids. […] Cushing syndrome can also be caused by the following: Tumor of the pituitary gland or adrenal gland, Tumor elsewhere in the body (ectopic Cushing syndrome). […] Signs and symptoms of excess glucocorticoid (cortisol) secretion: Weight gain or obesity, Heavy trunk; thin extremities, Fat pad (Buffalo Hump) in neck and supraclavicular area, Rounded face (moon face); plethoric, oily complexion, Skin fragile and thin; striae and ecchymosis, acne, Musculoskeletal muscle wasting causes by excessive catabolism, osteoporosis, characteristic kyphosis, back ache, Mental disturbances mood changes, psychosis, Increased susceptibility to infections. […] Primary Nursing Diagnosis: Fluid volume excess related to abnormal retention of sodium and water. […] Nursing Intervention: Monitor intake and output, daily weights, and serum glucose and electrolytes. Monitor for signs of infection because risk is high with excess glucocorticoids. After hypophysectomy, monitor for diabetes insipidus, hypothyroidism, and other endocrine changes. Assess the skin frequently to detect reddened areas, skin breakdown or tearing, excoriation, infection or edema. Handle skin and extremity gently to prevent trauma; prevent falls by using siderails. […] Documentation Guidelines: Physical response: Vital signs, neurological assessment, cardiopulmonary assessment, wound healing, signs of infection (fever, wound drainage, productive cough), important laboratory deviations (serious electrolyte imbalances, alterations in glucose levels). […] Nursing Diagnosis: Risk for injury and Risk for infection related to weakness and changes in protein metabolism and inflammatory response, Self-care Deficit: weakness, feeling of tiredness, muscle atrophy and changes in sleep patterns, Impaired skin integrity related to edema, impaired healing and the skin is thin and fragile, Disturbed Body Image related to changes in physical appearance, sexual dysfunction and decreased activity levels, Disturbed Thought Processes related to fluctuations in emotions, irritability and depression.

• #27 Addison’s vs Cushing’s Disease Practice Questions & NCLEX Reviewplay-sharp-fill

  https://simplenursing.com/addisons-vs-cushings-disease-nclex-practice-questions-review/

  Cushing’s syndrome can be thought of as the opposite of Addison’s as it represents the overproduction of endogenous steroids. […] Several important monitoring interventions will be required in clients with Cushing’s. Electrolyte changes are important to watch for such as serum sodium, potassium, and calcium. Daily weights may be advised to monitor for increased water and salt retention. Increases in weight by 1 lbs/day or 2-3 lbs in a few days may require pharmacologic intervention. […] Cushing’s clients are at increased risk of experiencing hyperglycemia due to steroid production. Therefore, periodic blood glucose tests should help prevent elevated blood sugars and reduce risks associated with diabetes. Clients with high blood sugar should be provided with insulin to correct their blood sugar levels.

• #28 Med-Surg: Cushing’s Syndrome (Glucocorticoid Hormone Excess)

  https://leveluprn.com/blogs/medical-surgical-nursing/endocrine-system-12-glucocorticoid-hormone-excess-cushings-syndrome?srsltid=AfmBOoq2iMhiOUrfNWtv9rIgTpXHI4q1xMFNOhEW9X9TN-BZQ1fi7_XC

  Nursing care for Cushings syndrome includes dietary restrictions, specifically fluid and sodium, while encouraging increased intake of potassium, calcium, and protein. […] A patient with Cushings syndrome needs to be monitored for fluid-volume overload and pulmonary edema. […] A patient with Cushings syndrome has fragile skin. […] This patient should also be protected from bone fractures because of the side effect of bone loss that comes with Cushings syndrome. […] This patient needs to be protected from GI bleeding since they are at increased risk for this to happen. […] Finally, we want to prevent infection in a patient with Cushings syndrome because their immune response is decreased.

• #29 Nursing Care Plan (NCP) for Cushing’s Disease | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-cushings-disease

  Cushing’s Disease Nursing Care Plan […] Outline nursing care strategies, focusing on patient education about medication management, potential side effects, and the importance of regular follow-ups. Emphasize the role of emotional support. […] Regularly monitor blood pressure, heart rate, and respiratory rate, as hypertension and tachycardia are common manifestations of Cushing’s syndrome. […] Administer medications as prescribed, such as adrenal enzyme inhibitors (e.g., ketoconazole, metyrapone) or surgery (transsphenoidal resection of pituitary adenoma), to reduce cortisol levels. […] Educate the patient on the importance of medication adherence, potential side effects, and the need for regular follow-up appointments for monitoring and adjustments. […] Provide emotional and psychological support to the patient, as Cushing’s Disease can impact mental health. Collaborate with mental health professionals to address mood disorders or anxiety. […] Monitor for signs of infection […] Prepare patient for surgery to treat disease […] Promote rest […] Manage blood glucose level

• #30 Nursing Care Plan (NCP) for Cushing’s Disease | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-cushings-disease?quiz-view=open

  Provide emotional and psychological support to the patient, as Cushings Disease can impact mental health. Collaborate with mental health professionals to address mood disorders or anxiety. […] Monitor for signs of infection: Fever, Wounds that are not healing, Changes in appetite or bowel habits, Nausea / vomiting. […] Prepare patient for surgery to treat disease. […] Promote rest, which is very important. […] Educate and encourage positive body image. […] Nutrition and lifestyle education: Quit smoking, Limit or avoid alcohol, Low sodium diet.

• #31 Cushing’s Syndrome Nursing Care Management and Study Guide

  https://nurseslabs.com/cushings-syndrome/

  The nurse must closely monitor the patient with Cushings syndrome to avoid complications. […] Assessment focus on the effects on the body of high concentrations of adrenal cortex to respond to changes in cortisol and aldosterone levels. […] Based on the assessment data, the major nursing diagnoses of the patient with Cushings syndrome include: Risk for injury related to weakness. […] The major nursing goals for the patient include: Decrease risk of injury. […] Nursing interventions for a patient with Cushings syndrome include: Provide a protective environment to prevent falls, fractures, and other injuries to bones and soft tissues. […] Monitor blood glucose levels, and assess stools for blood because diabetes mellitus and peptic ulcer are common problems. […] Discuss the impact that changes have had on patients self-concept and relationships with others. […] Present information about Cushing syndrome verbally and in writing to patient and family. […] The patient and the family should be informed that adrenal insufficiency and underlying symptoms may recur if discharge orders are not complied.

• #32 Addison’s vs Cushing’s Disease Practice Questions & NCLEX Reviewplay-sharp-fill

  https://simplenursing.com/addisons-vs-cushings-disease-nclex-practice-questions-review/

  Cushing’s syndrome can be thought of as the opposite of Addison’s as it represents the overproduction of endogenous steroids. […] Several important monitoring interventions will be required in clients with Cushing’s. Electrolyte changes are important to watch for such as serum sodium, potassium, and calcium. Daily weights may be advised to monitor for increased water and salt retention. Increases in weight by 1 lbs/day or 2-3 lbs in a few days may require pharmacologic intervention. […] Cushing’s clients are at increased risk of experiencing hyperglycemia due to steroid production. Therefore, periodic blood glucose tests should help prevent elevated blood sugars and reduce risks associated with diabetes. Clients with high blood sugar should be provided with insulin to correct their blood sugar levels.

• #33 Cushing’s Syndrome Nursing Care Management and Study Guide

  https://nurseslabs.com/cushings-syndrome/

  The nurse must closely monitor the patient with Cushings syndrome to avoid complications. […] Assessment focus on the effects on the body of high concentrations of adrenal cortex to respond to changes in cortisol and aldosterone levels. […] Based on the assessment data, the major nursing diagnoses of the patient with Cushings syndrome include: Risk for injury related to weakness. […] The major nursing goals for the patient include: Decrease risk of injury. […] Nursing interventions for a patient with Cushings syndrome include: Provide a protective environment to prevent falls, fractures, and other injuries to bones and soft tissues. […] Monitor blood glucose levels, and assess stools for blood because diabetes mellitus and peptic ulcer are common problems. […] Discuss the impact that changes have had on patients self-concept and relationships with others. […] Present information about Cushing syndrome verbally and in writing to patient and family. […] The patient and the family should be informed that adrenal insufficiency and underlying symptoms may recur if discharge orders are not complied.

• #34 9 Cushing’s Disease Nursing Care Plan – Nurseslabs

  https://nurseslabs.com/cushings-disease-nursing-care-plan/

  Cushings disease can have a significant impact on a persons body image due to the physical changes associated with the condition. Excess cortisol production can cause weight gain, particularly in the face, neck, and upper body, which can lead to a rounded or moon face, a hump on the upper back or neck, and increased body fat in the abdomen and chest. […] Explain to the client and family the cause of emotional instability. High cortisol levels can be experienced by the body as anxiety, and insomnia is very common in clients on steroids and with high cortisol levels. […] Administering medications and providing pharmacologic support is an important aspect of managing patients with Cushings disease. Pharmacotherapy aims to control cortisol levels, alleviate symptoms, and manage the underlying cause of the disease.

• #35 Nursing Care Plan (NCP) for Cushing’s Disease | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-cushings-disease?quiz-view=open

  Provide emotional and psychological support to the patient, as Cushings Disease can impact mental health. Collaborate with mental health professionals to address mood disorders or anxiety. […] Monitor for signs of infection: Fever, Wounds that are not healing, Changes in appetite or bowel habits, Nausea / vomiting. […] Prepare patient for surgery to treat disease. […] Promote rest, which is very important. […] Educate and encourage positive body image. […] Nutrition and lifestyle education: Quit smoking, Limit or avoid alcohol, Low sodium diet.

• #36 Cushing’s Syndrome Nursing Care Management and Study Guide

  https://nurseslabs.com/cushings-syndrome/

  The nurse must closely monitor the patient with Cushings syndrome to avoid complications. […] Assessment focus on the effects on the body of high concentrations of adrenal cortex to respond to changes in cortisol and aldosterone levels. […] Based on the assessment data, the major nursing diagnoses of the patient with Cushings syndrome include: Risk for injury related to weakness. […] The major nursing goals for the patient include: Decrease risk of injury. […] Nursing interventions for a patient with Cushings syndrome include: Provide a protective environment to prevent falls, fractures, and other injuries to bones and soft tissues. […] Monitor blood glucose levels, and assess stools for blood because diabetes mellitus and peptic ulcer are common problems. […] Discuss the impact that changes have had on patients self-concept and relationships with others. […] Present information about Cushing syndrome verbally and in writing to patient and family. […] The patient and the family should be informed that adrenal insufficiency and underlying symptoms may recur if discharge orders are not complied.

• #37 Iatrogenic Cushing Syndrome Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/117365-treatment

  The appropriate treatment for exogenous Cushing syndrome is gradual withdrawal of the causative drug, with the aim of discontinuing this agent if possible. This can be a lengthy process that may take several months to a year, depending on the duration and dosages of the glucocorticoids used. It is important to remember that during this process, an individual with HPA-axis suppression cannot increase steroid production appropriately during a medical illness or other stress and should receive stress-dose steroids to avoid adrenal crisis. […] See Glucocorticoid Therapy and Cushing Syndrome.

• #38 Cushing’s Disease: Clinical Manifestations and Diagnostic Evaluation | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0901/p1119.html/

  Transphenoidal removal of the tumor is the treatment of choice for Cushing’s disease. Cure is likely if the patient develops hypocortisolism in the first few days to weeks after surgery. Most patients are rendered hypoadrenal for months to years after the procedure. During this period, they require glucocorticoid replacement therapy. […] Patients who have been surgically treated for Cushing’s disease require careful long-term follow-up and monitoring for signs and symptoms of tumor recurrence. The pituitary adrenal axis must be evaluated six to 12 months after surgery to determine the potential need for lifetime exogenous steroid replacement therapy. Patients with panhypopituitarism subsequent to surgery require lifetime monitoring and titration of hormone therapy. […] All patients who need glucocorticoid replacement therapy should be given careful instructions about the effects of stress and illness on glucocorticoid dosages. In addition, these patients should wear appropriate medical alert labels.

• #39 Nursing Care Plan (NCP) for Cushing’s Disease | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-cushings-disease

  Cushing’s Disease Nursing Care Plan […] Outline nursing care strategies, focusing on patient education about medication management, potential side effects, and the importance of regular follow-ups. Emphasize the role of emotional support. […] Regularly monitor blood pressure, heart rate, and respiratory rate, as hypertension and tachycardia are common manifestations of Cushing’s syndrome. […] Administer medications as prescribed, such as adrenal enzyme inhibitors (e.g., ketoconazole, metyrapone) or surgery (transsphenoidal resection of pituitary adenoma), to reduce cortisol levels. […] Educate the patient on the importance of medication adherence, potential side effects, and the need for regular follow-up appointments for monitoring and adjustments. […] Provide emotional and psychological support to the patient, as Cushing’s Disease can impact mental health. Collaborate with mental health professionals to address mood disorders or anxiety. […] Monitor for signs of infection […] Prepare patient for surgery to treat disease […] Promote rest […] Manage blood glucose level

• #40 Cushing’s Disease/Syndrome Nursing Review

  https://www.registerednursern.com/cushings-disease-syndrome-nursing/

  Steroidogenesis Inhibitors: These inhibit the formation of steroid hormones by affecting enzymes involved in cortisol production. Examples include Ketoconazole and Metyrapone. […] ACTH Inhibitors: These lower ACTH secretion. An example is Pasireotide. […] Glucocorticoid Receptor Antagonists: Mifepristone blocks the action of cortisol. […] Radiation Treatment: Used to shrink tumors, especially pituitary tumors. Chemotherapy is less commonly used for this purpose. […] Remove Pituitary Tumors: This can decrease ACTH levels or involve the removal of the pituitary gland. […] Remove Adrenal Gland: If the entire gland is removed, lifelong glucocorticoid (cortisol) replacement is necessary. If only part of the gland is removed, temporary glucocorticoid therapy may be needed until adrenal function returns to normal. It is important to taper off medication gradually to avoid adrenal insufficiency, which can lead to Addisons disease.

• #41 9 Cushing’s Disease Nursing Care Plan – Nurseslabs

  https://nurseslabs.com/cushings-disease-nursing-care-plan/

  Cushings disease can have a significant impact on a persons body image due to the physical changes associated with the condition. Excess cortisol production can cause weight gain, particularly in the face, neck, and upper body, which can lead to a rounded or moon face, a hump on the upper back or neck, and increased body fat in the abdomen and chest. […] Explain to the client and family the cause of emotional instability. High cortisol levels can be experienced by the body as anxiety, and insomnia is very common in clients on steroids and with high cortisol levels. […] Administering medications and providing pharmacologic support is an important aspect of managing patients with Cushings disease. Pharmacotherapy aims to control cortisol levels, alleviate symptoms, and manage the underlying cause of the disease.

• #42 Cushing syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cushing-syndrome/diagnosis-treatment/drc-20351314

  Our caring team of Mayo Clinic experts can help you with your Cushing syndrome-related health concerns […] If Cushing syndrome is caused by taking glucocorticoid medicine for a long time, your health care provider may be able to control your symptoms by lowering how much medicine you take. This is done carefully over time, while still managing the condition for which you take it. Don’t reduce the dose of glucocorticoid drugs or stop taking them on your own. Do so only with help from your health care provider. […] After Cushing syndrome surgery, your body won’t make enough ACTH. You’ll need to take a cortisol replacement medicine to give your body the right amount of cortisol. Most of the time, your body starts making enough cortisol again, and your health care provider can taper off the replacement medicine. […] Sometimes, the tumor or its treatment causes the pituitary or adrenal gland to make too little of other hormones. If this happens, your health care provider can recommend hormone replacement.

• #43 Cushing Syndrome | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/cushing-syndrome/

  After surgery, the adrenal glands might not work as they should right away. Because of this, patients take medications to replace their cortisol. […] Some tumors that secrete ACTH are too small to be found and removed. In those cases, treatment for Cushing syndrome involves removing both adrenal glands. […] If a surgeon cannot remove all of the pituitary tumor, the patient might need radiation therapy after surgery. […] Medications might be part of your treatment plan for Cushing syndrome. Patients might receive medication before surgery if Cushing syndrome is very severe.

• #44 Patient education: Cushing syndrome treatment (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/cushing-syndrome-treatment-beyond-the-basics

  When pituitary surgery is unable to restore normal cortisol production, several drugs can be used to control cortisol production. […] Radiation can be a useful treatment when pituitary tumors cannot be completely removed by surgery, if surgery is not possible, or if Cushing disease recurs. […] Surgical removal of the adrenal glands (adrenalectomy) is a final measure that is sometimes recommended if other treatments are not successful. […] If treatment removes the source of excess cortisol, most of the symptoms of Cushing syndrome disappear within 12 months.

• #45

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abl2533

  Cushing’s syndrome is a rare hormonal problem. It happens when there is too much of the hormone cortisol in your body. […] Treatment depends on the cause of the syndrome. If it’s caused by steroid medicine, your doctor may change the amount of medicine you take. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Eat a healthy diet that is high in protein and calcium. This can help prevent muscle and bone loss caused by the high cortisol levels in your body. […] Limit salt (sodium) in your diet. This is very important if you have high blood pressure because of Cushing’s syndrome. […] Get regular eye exams to check for glaucoma and cataracts. […] See your doctor regularly to help diagnose and treat diabetes, high blood pressure, and other possible complications. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected. […] Your symptoms, such as weight gain or hair growth, are getting worse.

• #46 Cushing’s Syndrome: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.cushing’s-syndrome-care-instructions.abl2533

  Cushing’s syndrome is a rare hormonal problem. It happens when there is too much of the hormone cortisol in your body. […] Treatment depends on the cause of the syndrome. If it’s caused by steroid medicine, your doctor may change the amount of medicine you take. If it’s caused by tumors on the pituitary or adrenal glands, your doctor may treat it with surgery, medicine, or radiation. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Eat a healthy diet that is high in protein and calcium. This can help prevent muscle and bone loss caused by the high cortisol levels in your body. Talk to your doctor about whether you should take a calcium and vitamin D supplement for bone health.

• #47 Cushing’s Syndrome – Women’s Health – Associates for Women’s Medicine – Syracuse NY Gynecologist, Gynecology, Obstetrics, OBGYN, OB Physicians, Syracuse New York, Fayetteville, North Syracuse, LiverpoolCushing’s Syndrome

  https://www.afwomensmed.com/health-library/hw-view.php?DOCHWID=hw71646

  Cushing’s syndrome can also lead to other health problems, such as high blood pressure, type 2 diabetes, glaucoma, and cataracts. […] To avoid health problems from Cushing’s syndrome, there are many things you can do. […] Eat a healthy diet. […] Choose a variety of healthy foods that are high in protein and calcium. This can help prevent muscle and bone loss caused by high cortisol levels. […] Talk to your doctor about whether you should take a calcium and vitamin D supplement for bone health. […] Limit salt (sodium) in your diet. This is especially important if you have high blood pressure. […] Take good care of yourself. […] Get regular exercise. Talk to your doctor before you start any exercise program. […] Avoid falls, which can lead to broken bones and other injuries. Remove loose rugs and other tripping hazards from your home. […] Get regular eye exams to check for glaucoma and cataracts. […] See your doctor regularly to watch for other problems such as diabetes, high blood pressure, and osteoporosis.

• #48 What Is Cushing’s Disease (Cushing’s Syndrome)? Symptoms & Treatment

  https://www.medicinenet.com/what_is_cushings_disease_cushings_syndrome/article.htm

  Cushing’s syndrome is a rare condition with potentially serious complications if left untreated. Proper diagnosis is important to assess the underlying cause of Cushing’s syndrome, allowing for appropriate treatment. Pharmacologic treatment, while not first-line, plays a vital role for selected people with Cushing’s syndrome. […] Dietary and lifestyle adjustments are the best ways to take care of yourself if you are diagnosed with Cushing’s syndrome. […] Three ways to care for yourself if you are diagnosed with Cushing’s syndrome include: Anti-inflammatory diet: By naturally regulating hormones, aiding digestion, and decreasing inflammation, nutrient-dense, unprocessed food can help prevent issues and alleviate symptoms. […] Exercise, when done reasonably and healthily can be an excellent method to reduce stress, control cortisol and manage your weight.

• #49 Cushing Disease (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK568708/

  Cushing disease is a rare pituitary gland disorder best managed by a multidisciplinary team that includes a neurosurgeon, radiation consultant, endocrinologist, radiologist, primary care provider, nurse practitioner, and an internist. These patients are prone to several complications, including peptic ulcer disease, weight gain, osteoporosis, diabetes, depressed immune system, and hypertension. Hence the patient has to be closely monitored. […] Patients need lifelong follow-up with regular monitoring of cortisol levels. Recurrence of disease is not uncommon, and too much or too little cortisol can be life-threatening.

• #50 Cushing Disease / Cushing Syndrome | Brain Institute | OHSU

  https://www.ohsu.edu/brain-institute/cushing-disease-cushing-syndrome

  For some patients, surgery isn’t an option or doesn’t fully solve the problem. […] You may need medication for Cushing disease/syndrome: Before surgery to control cortisol levels. […] If you can’t have surgery because of other health reasons or risks. […] If you had surgery, but the neurosurgeon couldn’t remove the entire tumor or the removal didn’t solve the problem. […] If you have too much ACTH, but a tumor doesn’t show up on imaging. […] Our team will monitor you closely and provide treatment if this happens. […] Most patients who have had radiation therapy have medication for an extended period. We stop the medication, usually once a year, to see if the radiation worked. […] After surgery and if you are in remission, your body no longer produces cortisol. You will need medication to maintain normal levels. […] Cushing disease comes back, even after decades, in about a quarter of cases. We will monitor you closely and recommend further treatment if needed.

• #51 Cushing’s Syndrome | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/cushing-s-syndrome

  Cushings syndrome may require lifelong treatment. […] Our team of specialists is here to support your family every step of the way as your child grows. […] Children with Cushings syndrome should follow-up with the endocrinologist every three to six months to monitor hormone levels, adjust medication as needed, and measure the effectiveness of treatment. […] Depending on your child’s condition, long-term care may be needed. At the Adrenal and Puberty Center, we bring endocrinologists, urologists, reproductive specialists, counselors and nurses together to deliver the best-coordinated care for your child.

• #52 Cushing Disease (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK568708/

  Cushing disease is a rare pituitary gland disorder best managed by a multidisciplinary team that includes a neurosurgeon, radiation consultant, endocrinologist, radiologist, primary care provider, nurse practitioner, and an internist. These patients are prone to several complications, including peptic ulcer disease, weight gain, osteoporosis, diabetes, depressed immune system, and hypertension. Hence the patient has to be closely monitored. […] Patients need lifelong follow-up with regular monitoring of cortisol levels. Recurrence of disease is not uncommon, and too much or too little cortisol can be life-threatening.

• #53 What Is Cushing’s Disease (Cushing’s Syndrome)? Symptoms & Treatment

  https://www.medicinenet.com/what_is_cushings_disease_cushings_syndrome/article.htm

  Getting adequate sleep is important for controlling cortisol and other hormones. […] Many people with Cushing’s disease experience anxiety and sadness. It is beneficial to speak with a professional, such as a therapist or counselor, and seek support from family, friends, and others who are experiencing similar difficulties. […] Support groups might be beneficial in dealing with Cushing’s syndrome and recovering from it. They bring you together with other individuals who are facing similar struggles, as well as their families and friends, and provide a space in which you may discuss common issues. […] If you think you have signs and symptoms that indicate Cushing’s syndrome, your care team should include: A general physician who evaluates your symptoms and then may refer you to other doctors, An endocrinologist (a doctor who specializes in hormonal disorders), A neurosurgeon, once the diagnosis of Cushing’s syndrome is made, A dietician and nutritionist to help you with your lifestyle modifications to have better outcomes during and after treatment, A physical therapist who may help you with exercises that may suit your age and underlying health condition.

• #54 Cushing Syndrome (Discharge Care)

  https://www.drugs.com/cg/cushing-syndrome-discharge-care.html

  Manage your blood sugar levels. Cushing syndrome can increase blood sugar levels. Work with a dietitian to find the best foods to control your blood sugar. […] Weigh yourself daily. Weigh yourself at the same time every morning after you urinate, but before you eat. Weight gain can be a sign of extra fluid in your body. […] Manage stress. Elevated cortisol levels may increase your stress and anxiety levels. Learn new ways to relax, such as deep breathing. […] Contact your healthcare provider or specialist if: You gain more weight than your healthcare provider said you should. Your pain is worse or does not go away even after you take pain medicine. Your symptoms get worse. You have questions or concerns about your condition or care. […] Seek care immediately or call 911 if: You have trouble staying awake or are confused. You have a severe headache or feel dizzy. You have blurred or double vision. You have chest pain. You have trouble breathing or shallow breathing.

• #55 Cushing’s Syndrome: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.cushing’s-syndrome-care-instructions.abl2533

  Limit salt (sodium) in your diet. This is very important if you have high blood pressure because of Cushing’s syndrome. […] Get regular eye exams to check for glaucoma and cataracts. […] See your doctor regularly to help diagnose and treat diabetes, high blood pressure, and other possible complications. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected. […] Your symptoms, such as weight gain or hair growth, are getting worse.

• #56 Cushing Disease (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568708/

  Cushing disease is a rare disorder characterized by increased adrenocorticotropic hormone (ACTH) production from the anterior pituitary, leading to excess cortisol release from the adrenal glands. […] Recall the nursing care plans for Cushing disease. […] Nursing Management includes assessing vitals, heart and lung status, performing 12 lead ECG, assessing neurovitals, checking electrolytes, weighing the patient, managing blood glucose levels, and monitoring for signs of infection. […] Without treatment, Cushing disease is ultimately fatal. The mortality is due to the excess production of glucocorticoids, which can lead to many medical problems, including impairment in immune function. For patients who undergo surgery, lifelong treatment with glucocorticoids is necessary. […] Cushing disease is a rare pituitary gland disorder best managed by a multidisciplinary team that includes a neurosurgeon, radiation consultant, endocrinologist, radiologist, primary care provider, nurse practitioner, and an internist. These patients are prone to several complications, including peptic ulcer disease, weight gain, osteoporosis, diabetes, depressed immune system, and hypertension. Hence the patient has to be closely monitored.

• #57 A specific nursing educational programme in patients with Cushing’s syndrome | ECE2015 | 17th European Congress of Endocrinology | Endocrine Abstracts

  https://www.endocrine-abstracts.org/ea/0037/ea0037gp.22.06

  A specific nursing educational programme in patients with Cushing’s syndrome […] There are no specific nursing healthcare programs to address this disease and achieve improved health related quality of life (HRQoL). Thus, an educational nursing intervention in these patients, through the development and promotion of specific educational tools, appears to be justified. […] This educational nursing program improved HRQoL, physical activity, healthy lifestyle and promoted adherence to therapy and better sleep patterns in CS patients, reducing health resources consumption. The brief nature of the programme makes it a good candidate to be used in patients with CS.

• #58 Patient education: Cushing syndrome (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/cushing-syndrome-beyond-the-basics

  Cushing syndrome occurs when there is an excess of cortisol, a hormone produced by the adrenal glands. […] Today, virtually all people with Cushing syndrome can be treated effectively, and many can be cured. Because Cushing syndrome is potentially fatal if untreated, people with this condition should have regular medical care and follow their treatment plan closely. […] The treatment of Cushing syndrome is discussed separately.

• #59 Cushing Syndrome: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/5497-cushing-syndrome

  Cushing syndrome can possibly be fatal if you dont get treatment. Without treatment, hypercortisolism can cause health problems, including: […] If left untreated, Cushing syndrome can also result in death. […] The type of treatment depends on the underlying cause of the high cortisol levels. If you use glucocorticoids, your healthcare provider will likely lower the dosage or prescribe a non-glucocorticoid medication. […] If a tumors causing Cushing syndrome, your provider may suggest surgery or radiation. […] Another option is for your healthcare provider to prescribe a medication such as ketoconazole thatll slow down the production of cortisol. […] If Cushing syndrome is properly treated, the disease may go away after two to 18 months. Be sure to stay in contact with your healthcare provider during and after this period. […] Cushing syndrome can be a difficult syndrome to endure. It causes weakness, hypertension, fatigue and more. The treatments including surgery, medications, radiation and chemotherapy may be uncomfortable. However, theyre worth it because, with the right treatment, theres a cure for Cushing syndrome.

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