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stress reducing foods ā„ foods that support adrenal function, helping to decrease cortisol
Adrenal Glands
Hi again! Welcome to a crash course of the adrenal glands brought to you directly from my lecture notes.
Before we jump into it, thereās two very important hormones that are secreted from the adrenal cortex. These are going to be the backbone of your major dysfunctions.Ā
Aldosterone
Aldosterone is a mineralocorticoid that maintains extracellular fluid balance by sodium and water reabsorption and potassium excreted by the kidneys.Ā
Cortisol
Cortisol is a glucocorticoid that affects the bodyās response to stress, immune function, nutrition, sodium and water balance, and emotional balance. Also keep in mind that when cortisol levels are low, glucose levels are low.Ā
With that out of the way, lets go over a rough adrenal anatomy.Ā
Youāve got two parts to the gland.
Adrenal Cortex
This makes up 90% of the gland
It secretes 3 types of hormones
mineralocorticoids
glucocorticoids
sex hormones
Adrenal Medulla
This makes up the other 10%
Secretes catecholamines (epinephrine and norepinephrine)Ā
On to dysfunction!
Adrenal Hypofunction -- Addisonās Disease
Causes:
Primary
autoimmune
aids/infection
adrenalectomy
abdominal radiation therapy
drugs
cancer
Secondary
hypophysectomy
brain/pituitary radiation
sudden cessation of glucocorticoid therapy
Manifestations:
muscle pain/weakness
anorexia and weight loss
nausea
vomiting
diarrheaĀ
constipation
salt craving*
vitiligo or dark pigmentation of skinĀ
hair loss
emotional lability/depression/apathy
Lab Findings:
hyponatremia* (remember the salt craving?), hyperkalemia, and hypovolemia
In Addisonās Disease, you have a lack of aldosterone and cortisol? Remember what these hormones do? Maintain fluid volume. Therefore, these lab finding make sense when you think in terms of fluid volume deficit
increased BUN
decreased cortisol and aldosterone (obviously)
higher risk of developing hypoglycemiaĀ
Interventions:
frequent vital signs -- sometimes up to q15 minutes
reduce physical activity/minimize stress
cardiac assessment for changesĀ
fluid replacement
sodium replacement
IV glucose/insulin (to treat hyperkalemia)Ā
hormone replacement
prednisone
cortisone
hydrocortisone
fludrocortisone
Common NANDAs for Addisonās Disease
Risk for decreased cardiac output
Deficient fluid volume
Fatigue
Cardiac function is a nursing priority because of hyperkalemia
@adrenalā sent in š for anna & meg.
run, rabbit, run, rabbit, run, run, run. donāt be afraid of the farmerās gun.

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Kidney and large adrenal mass interwoven with the renal vessels.
No matter what our age is, there is always a child within us who gets excited once in a while. Outdoor ride parks are few of these places where we just get the opportunity to unwind ourselves without having any second thoughts - or at least are with least resistance to the idea and #experience the #adrenal which we cherish from our childhood. This picture of chair swing was taken while we were enjoying our stay in #Genting #highland #park . From my travel archive. . Photography Details: #Canon #DSLR FL: 18mm; 1/200 Sec at f/9.0; ISO 100 . . . #travelphoto #travelworld #keepexploring #globe_travel #theglobewanderer #letsgosomewhere #exploretheglobe #instatraveling #igtravel #travelblog #instago #mytravelgram #travelingram #sharetravelpics #worldtravelpics #stayandwander #canonpakistan #earthfocus #ddl #travelstoke #canonasia #gentinghighland #malaysia https://www.instagram.com/p/Booz8fgH1Lu/?utm_source=ig_tumblr_share&igshid=1p5dq240qdilu
Who are your friends? Do you have a best friend? Describe these people.
@adrenalĀ /Ā letĀ meĀ talkĀ aboutĀ TheĀ Boyā¢Ā
Ā Ā Ā Ā Ā Ā Ā Ā āĀ Ā myĀ friendsĀ ?Ā Ā wellĀ Ā āĀ Ā theĀ othersĀ ,Ā ofĀ courseĀ .Ā Ā āĀ Ā aĀ blinkĀ ofĀ simplicityĀ isĀ followedĀ byĀ tiltingĀ headĀ atĀ suchĀ aĀ specificĀ questionĀ ,Ā asĀ ifĀ theĀ answerĀ couldĀ everĀ beĀ anythingĀ elseĀ .Ā Ā āĀ Ā myĀ bestĀ friendĀ ?Ā Ā āĀ Ā browsĀ furrowĀ atĀ theĀ firstĀ thoughtĀ thatĀ popsĀ intoĀ hisĀ mindĀ Ā āĀ Ā davidĀ .Ā Ā āĀ Ā claudeĀ orĀ megĀ ,Ā theyāreĀ bothĀ myĀ bestĀ friendsĀ .Ā Ā iĀ donātĀ knowĀ whatĀ iādĀ doĀ withoutĀ eitherĀ ofĀ themĀ inĀ myĀ lifeĀ .Ā Ā āĀ Ā aĀ softĀ laughĀ isĀ quicklyĀ exhaledĀ ,Ā shyĀ smileĀ lightingĀ normallyĀ seriousĀ visageĀ .Ā Ā āĀ Ā megĀ wasĀ theĀ firstĀ survivorĀ iĀ everĀ metĀ inĀ hereĀ Ā &Ā Ā weāveĀ beenĀ inseparableĀ everĀ sinceĀ !Ā Ā sheāsĀ soĀ impulsiveĀ Ā &Ā Ā readyĀ toĀ goĀ atĀ allĀ timesĀ ,Ā remindsĀ meĀ aĀ lotĀ ofĀ myĀ olderĀ sisterĀ ,Ā danaĀ .Ā Ā megāsĀ likeĀ aĀ littleĀ sisterĀ toĀ meĀ ,Ā iādĀ doĀ anythingĀ forĀ herĀ .Ā Ā &Ā Ā claudeĀ ?Ā Ā oofĀ ,Ā sheādĀ neverĀ admitĀ itĀ butĀ sheāsĀ oneĀ ofĀ theĀ bravestĀ peopleĀ iāveĀ everĀ metĀ !Ā Ā evenĀ inĀ theĀ faceĀ ofĀ dangerĀ sheādĀ doĀ everythingĀ inĀ herĀ powerĀ toĀ helpĀ someoneĀ ,Ā evenĀ aĀ killerĀ .Ā Ā thatĀ takesĀ aĀ levelĀ ofĀ compassionĀ thatĀ mostĀ peopleĀ donātĀ haveĀ theĀ strengthĀ toĀ showĀ .Ā Ā ā