A Serious Coma Starting Silently and Could Result in Death: Addison Crisis

Year 2021, Volume: 1 Issue: 1, 16 - 19, 29.12.2021

Hülya Keskin Aynur Türeyen

https://doi.org/10.29228/aijhs.4

Abstract

Addisonian crisis, also known as adrenal crisis or acute adrenal insufficiency, occurs in patients who have hypotension
and shock, who have not been diagnosed before, or whose compliance with treatment is impaired despite being
diagnosed, or who have encountered stress. Adrenal crisis is a serious clinical condition that starts silently, progresses
rapidly and insidiously, however, can result in death by causing serious consequences, and requires urgent and
effective care management. Therefore, there is need to have knowledge and awareness regarding adrenal crisis in the
team working in the emergency department, especially in internal medicine, endocrine and emergency nurses. The
main purpose of this study, which is planned with these thoughts; to increase the knowledge and awareness of nurses
working in internal medicine clinics, especially nurses working in emergency department and endocrine clinics,
regarding the adrenal crisis, to create resources for effective nursing management planning while giving care to
adrenal crisis cases, and to contribute to the literature on the adrenal crisis.

Keywords

Adrenal crisis, Addison, Nursing

Sessiz Başlayan - Ölümle Sonuçlanabilen Ciddi Bir Koma: Addison Krizi

Abstract

Addison krizi başka bir tanınmış adı ile adrenal kriz ya da akut adrenal yetmezlik; hipotansiyon ve şok tablosu olup,
daha önceden tanı almamış veya tanısı olduğu halde tedaviye uyumu bozulan ya da stres ile karşılaşmış hastalarda
ortaya çıkar. Adrenal kriz sessiz başlayan, hızlı ve sinsi ilerleyen ancak ciddi sonuçlara neden olarak ölümle
sonuçlanabilen ağır bir klinik durumdur ayrıca acil ve etkin bakım yönetimi gerektirir. Bu bağlamda acil servis
ekibinde özellikle de dahiliye, endokrin ve acil servis hemşirelerinde adrenal kriz ile ilgili bilgi ve farkındalık
gerektirmektedir. Bu düşüncelerle planlanan bu makalenin temel amacı; özelikle acil ve endokrin kliniğinde çalışan
hemşireler olmak üzere dahiliye kliniklerinde görevli hemşirelerin adrenal kriz ile ilgili bilgi ve farkındalığını
arttırmak, adrenal kriz olgusuna bakım verirken etkin bir hemşirelik yönetimi planlamaları için kaynak oluşturmak
ve adrenal kriz ile ilgili literatüre katkı sağlamaktır.

Keywords

Adrenal kriz, Addison, Hemşirelik

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