Controlling hypertension.
Preventing irreversible shock.
Preventing infection.
Relieving anxiety.
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Fluid retention.
Pain.
Peripheral edema.
Hunger.
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Discontinue the infusion.
Apply a warm soak to the site.
Stop the flow of solution temporarily.
Irrigate the needle with normal saline.
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170 calories.
250 calories.
340 calories.
500 calories.
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Milk and diet soda.
Water and eggnog.
Bouillon and juice.
Coffee and milkshakes.
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Remove all sources of stress from daily life.
Use relaxation techniques such as music.
Take antianxiety drugs daily.
Avoid discussing stressful experiences.
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Insufficient secretion of growth hormone (GH).
Dysfunction of the hypothalamic pituitary.
Idiopathic atrophy of the adrenal gland.
Oversecretion of the adrenal medulla.
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Addison’s disease will resolve over a few weeks, requiring no further treatment.
Avoiding stress and maintaining a balanced lifestyle will minimize risk for exacerbations.
Fatigue, weakness, dizziness, and mood changes need to be reported to the physician.
A medical identification bracelet should be worn.
Family members need to be informed about the warning signals of adrenal crisis.
Dental work or surgery will require adjustment of daily medication.
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Weight gain.
Hunger.
Lethargy.
Muscle spasms.
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Hypokalemia.
Hypernatremia.
Hypoglycemia.
Decreased blood urea nitrogen (BUN) level.
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“Various circumstances increase the need for glucocorticoids, so I will need to adjust the dosage.”
“My need for glucocorticoids will stabilize and I will be able to take a predetermined dose once a day.”
“Glucocorticoids are cumulative, so I will take a dose every third day.”
“I must take a dose every 6 hours to ensure consistent blood levels of glucocorticoids.”
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Take both drugs three times a day.
Take the entire dose of both drugs first thing in the morning.
Take all the fludrocortisone acetate and two thirds of the cortisone acetate in the morning, and take the remaining cortisone acetate in the afternoon.
Take half of each drug in the morning and the remaining half of each drug at bedtime.
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“Take your medication with a full glass of water.”
“Take your medication on an empty stomach.”
“Take your medication at bedtime to increase absorption.”
“Take your medication with meals or with an antacid.”
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Skin turgor.
Temperature.
Thirst.
Daily weight.
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