Addison Disease Priority

[souleater11]

Hi everyone,

which of the 2 lab values below is a alarming for an Addison disease patient?

137 Serum Sodium or 70 Blood Glucose ?

[bridg0809]

Both readings are normal. Addison's usually low NA, low BG, low cortisol, high K.

[bridg0809]

And low BP

[souleater11]

Both readings are normal. Addison's usually low NA, low BG, low cortisol, high K.

Hi Bridge, take note that both of this lab values might precipitate Addisonian Crises which is a Medical Emergency.

However, I don't know which of the 2 lab values requires a nursing priority.

is it Hypoglycemia or Hypotension ?

[bridg0809]

Hi Bridge, take note that both of this lab values might precipitate Addisonian Crises which is a Medical Emergency.

However, I don't know which of the 2 lab values requires a nursing priority.

is it Hypoglycemia or Hypotension ?

Very true...very true. That's a tough one...I'd say get the BP taken care of ASAP and then bs. I don't see the problem with the sodium as to that's WNL.

[SwansonRN]

I would be more alarmed about the blood sugar. 137 is a fine sodium level...unless I'm missing something. 70 earns you a snack in my book.