A patient has symptoms of adrenocorticoid insufficiency and is having diagnostic testing with administration of cosyntropin (Cortrosyn). The nurse would evaluate that this test shows secondary adrenocortical insufficiency if which result occurs?

Question

Quizplus · Accepted Answer

Cosyntropin is a synthetic form of ACTH. In secondary adrenocortical insufficiency, the adrenal glands are capable of producing cortisol, but they are not stimulated due to a lack of ACTH from the pituitary. If cortisol levels rise after cosyntropin injection, it indicates that the adrenal glands are functioning and the issue is with ACTH production, confirming secondary insufficiency.

A Patient Has Symptoms of Adrenocorticoid Insufficiency and Is Having