Final answer:
Cushing's syndrome patients should only use salt substitutes under medical supervision due to the potential for electrolyte imbalance and cardiovascular issues. Salt substitutes often contain potassium, which could be beneficial, but excessive intake can be harmful, especially in the presence of kidney dysfunction associated with Cushing's.
Step-by-step explanation:
Can Cushing's patients have salt substitutes? The most appropriate answer would be d. Only under medical supervision. Cushing's syndrome is a condition where there is an excessive amount of cortisol in the body. This can lead to an imbalance in diverse physiologic processes, including the regulation of electrolytes. Salt substitutes often contain potassium in place of sodium, which might be beneficial since Cushing’s syndrome can lead to elevated sodium levels.
However, patients with Cushing's can also be at risk for developing high blood pressure and other cardiovascular issues. Excessive potassium intake, which can occur with unregulated use of salt substitutes, may also pose a risk, particularly if there is underlying kidney dysfunction, which can accompany Cushing's syndrome. Therefore, introducing any salt substitute in the diet of someone with Cushing’s should be done cautiously and only under medical supervision to ensure that it does not lead to further health complications.