Certified Emergency Nurse (CEN) Practice Test

In the treatment of Cushing's syndrome, a primary strategy involves decreasing steroid use, particularly if the condition is related to the administration of exogenous corticosteroids. Cushing's syndrome can occur when the body is exposed to high levels of cortisol for an extended period, either from internal overproduction (endogenous) or more commonly, from external steroid use (iatrogenic).

Reducing or tapering down the dose of steroids can help restore normal cortisol levels and mitigate the symptoms and effects associated with the syndrome, such as obesity, hypertension, diabetes, and other complications. This approach is critically important if the syndrome is indeed presenting due to medication use, as abrupt cessation may lead to withdrawal symptoms.

In cases where Cushing’s syndrome arises from a tumor or adrenal gland adenoma, other strategies such as surgery may be required, but the immediate and effective management of those on steroid therapy focuses on reducing their intake. While other treatments can be part of the overall management plan for Cushing’s syndrome, decreasing steroid use is a foundational treatment strategy, particularly in patients whose condition is drug-induced.