Hyperaldosteronism

Question 1

Hyperaldosteronism caused by

Answer 1

Excess corticosteroids

adrenal tumors
genetic link

Secondary:

• Renal artery stenosis
• Renin-secreting tumor
• Chronic Kidney disease

Question 2

Mineralcorticoid excess can cause

Answer 2

Hypokalemia

HTN

Question 3

Hyperaldosteronism manifestations

Answer 3

Na retention- can cause HA, HTN

K excretion- weakness, fatigue, dysrhythmias, metabolic alkalosis

Question 4

Cushing syndrome asessment

Answer 4

Low K/glucose

Dyslipidemia

Polycythemia

low WBC

Question 5

Treatment for hyperaldosteronism

Answer 5

adrenalectomy to remove tumor- high dose corticosteroids given during and after surgery

Preop: 
K sparing diuretic
Antihypertensives
Potassium supp
Na restrictions
High protein diet

Post op:

• Inc. risk hemorrhage
• Instabilities in BP, fluids, electrolytes

Question 6

Acute adrenal insufficiency

Answer 6

Can happen r/t adrenal surgery for hyperaldosteronism

Vomiting
Weakness
Dehydration/Hypotension
Joint pain
Pruritis (itchy)
Emotional problems