Endocrine Question #50
The nurse develops discharge teaching for a client with Addison’s Disease. What is the most important topic in teaching about hormone replacement therapy?
- Stopping steroid doses when stress or illness occurs
- To maintain lifelong steroid replacement therapy
- Monitor liver function through monthly blood tests
- To limit dietary intake of protein and sodium
Addison’s Disease will require lifelong glucocorticoid therapy since the adrenal cortex does not secrete enough hormones. The client needs to take the ordered dose and should not stop the medication. The client should seek medical help for infection, or other conditions that precipitate Addisonian crisis, which may call for increased doses of glucocorticoids including intravenous glucocorticoids. Liver function does not need to be monitored monthly, and diet should be high in protein, high in carbohydrates, and with normal sodium. Low protein and carbohydrate would be detrimental for nutritional status since the client will most likely have weight loss.