A patient with suspected adrenal insufficiency has been administered 1 mcg of cosyntropin (Cortrosyn) as an IV bolus. Serum testing 30 minutes later reveals a markedly elevated level of cortisol
What conclusion should the nurse infer from this finding? A) The patient has normal adrenocortical function.
B) The patient has primary adrenal insufficiency.
C) The patient has secondary adrenal insufficiency.
D) The patient has Addison's disease.
A
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The low-dose test involves the administration of 1 mcg of cosyntropin (Cortrosyn) as an IV bolus. In people with normal adrenocortical function, an increase in cortisol occurs in 20 minutes.
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