Gustinerz.com | Addison disease adalah keadaan dimana kegagalan/kerusakan kortek adrenal dalam memproduksi hormone, sehingga hormone yang dihasilkan tidak adekuat. Kegagalan ini disebabkan oleh respon autoimun, TB, tumor ganas, infark hemoragik atau tindakan pembedahan.

Bentuk sekunder dari keadaan ini adalah gangguan pada kelenjar hipofisis yang menyebabkan penurunan sekresi/kadar ACTH, tetapi biasanya sekeresi aldesteron normal. Insufiensi/krisis adrenal dapat terjadi ketika pasien menghentikan penggunaan obat steroid, atau karena trauma, pembedahan atau gabungan dari beberapa stress fisiologis, penurunan cadangan glikokortikoit pada sesorang dengan hipofungsi adrenal (Marrylyn A Doenges)

Diagnose keperawatan yang muncul pada penyakit Addison adalah sebagai berikut:

  1. Kekurangan Volume Cairan b/d kehilangan cairan melalui ginjal
  2. Perubahan Nutrisi Kurang Dari Kebutuhan b/d metabolism lemak abnormal
  3. Kelelahan b/d produksi energy menurun
  4. Resiko Tinggi Terhadapa Penurunan Curah Jantung faktor resiko penurunan energy tingkat sel

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