Addi

son’
sDi
seaseNur
singCar
ePl
an
Subj
ect
iveDat
a:

Fat
igue

Lowerback/l
egpai
n

Abdomi
nal
pai
n

I
rr
it
abi
l
ity/depr
essi
on

Repor
tssi
gni
fi
cantwei
ghtl
oss

Obj
ect
iveDat
a:

Decr
easedbl
oodpr
essur
e

El
ect
rol
ytei
mbal
ance

Decr
easedsodi
um

I
ncr
easedpot
assi
um

Sev
erev
omi
ti
ng,
diar
rhea

Dehy
drat
ion

Lossofconsci
ousness

Nur
singI
nter
vent
ionsandRat
ional
es

Moni
torwei
ght

Lackofappet
it
eduet
odecr
easedl
evel
sofcor
ti
sol
maycausesi
gni
fi
cantdecr
easei
nbody
weight

Encour
ageor
alf
lui
ds

Def
ici
encyofcor
ti
solmayl
eadt
oanorexi
aandimpair
edGIfunct
ion.Encour
ageor
alf
lui
dst
o
hel
pmaintai
nadequat
esodi
um l
evel
sandavoi
ddehydrat
ion.

Mi
nimi
zest
ressandassi
stwi
thact
ivi
ti
es/pr
ovi
der
estper
iods

Si
mplestr
essandoverexert
ioncancauseal
if
e-t
hreat
eni
ngAddi
soni
ancr
isi
sduet
olackof
cor
ti
cost
eroi
dsthathel
pt hebodyreactt
oandmanagestr
ess.

Moni
tornut
ri
ti
on
 Aldosteronedefi
ciencycausesthekidneystoexcretesodi
um whichmayresulti
nsaltcravi
ngs.
Encouragepat i
entstoincreasesal
tint
akeandsuppl ementsasnecessaryt
oprevent
hyponatremia.Encouragepat i
ent
stoeathighprotein/lowcar
bsnacksandmeal sast ol
erat
ed
fol
lowedbyr estperiodstopreventf
atigueduetohy pogl
ycemi
aandt ofaci
l
itat
edigesti
on.

I&O–moni
tori
ntakeandout
put

Moni
torur
inef
ordecr
easedout
put(
desi
red>30ml
/hr
),concent
rat
ionandcol
orwhi
chmaybe
dar
ker

Assessvi
tal
s;temper
atur
e,bl
oodpr
essur
eandhear
trat
e–wat
chi
ngf
oror
thost
ati
cchanges
andhyper
pyrexia

Adecreaseof15mm Hgormor eandi

ncr
easeinhear
trat
e(nor
mal
<100bpm)mayi
ndi
cat
e
r
educedcircul
ati
onoff
lui
dssuchaswi
thdehy
drati
on

I
ncr
easedt
emper
atur
emaybeasi
gnofAddi
soni
ancr
isi
sduet
ohor
monal
andf
lui
dimbal
ance

Moni
torEKGf
orsi
gnsofhy
per
kal
emi
a

LackofAl
dost
eronemeansi
ncr
easedsodi
um excr
eti
onandi
ncr
easedpot
assi
um r
etent
ion.

Si
gnsofhy
per
kal
emi
awi
l
lincl
udepeakedTwav
esandpr
olongedQRScompl
ex.

Moni
torf
orsi
gnsofdehy
drat
ionbynot
ingmucusmembr
anesandski
ntur
gor

Tent
ingoftheski
nanddr
ymucousmembr
anesi
ndi
cat
edehy
drat
ion.
,whi
chi
scommonduet
o
v
omi t
ingandanorexi
a.

Admi
nist
erMedi
cat
ions

Kay
exal
ate

Cor
teforCor
tone

Pr
edni
sone
Fl
ori
nef

Kay
exal
ate–Canbegi
venor
all
yorbyenemat
oreducepot
assi
um l
evel
s

Cor
teforCor
toneandpr
edni
sonemaybegi
venor
all
yorI
Vtoi
ncr
easecor
ti
sol
lev
els

Fl
ori
nef–Gi
venor
all
ytopr
omot
erepl
acementandr
etent
ionofsodi
um andwat
er