Primary Adrenal Insufficiency (Addison’s Disease)
Primary Adrenal Insufficiency, also called Addison’s disease, is a severe or total deficiency of the hormones made in the adrenal cortex, caused by its destruction.
Primary Nursing Diagnosis
Diagnosis: Imbalanced nutrition: less than body requirements related to insufficient dietary intake as evidenced by anorexia, nausea, vomiting, and/or diarrhea
Outcomes: Fluid balance; Hydration; Nutritional status: Food and fluid intake; Nutritional status: Energy
Interventions: Fluid/electrolyte management; Hypoglycemia management; Nutritional management; Nutritional counseling
Hyperthyroidism
Hyperthyroidism (overactive thyroid) occurs when your thyroid gland produces too much of the hormone thyroxine. Hyperthyroidism can accelerate your body’s metabolism, causing unintentional weight loss and a rapid or irregular heartbeat.
Primary Nursing Diagnosis
Diagnosis: Activity intolerance related to increased metabolism as evidenced by exhaustion, palpitations, and/or fatigue
Outcomes: Energy conservation; Endurance; Self-care: Activities of daily living; Physiological; Mobility level; Nutritional status: Energy; Symptom severity
Interventions: Energy management; Exercise promotion; Exercise therapy: Ambulation; Nutritional management; Medication management; Surveillance; Vital signs monitoring