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Hyperaldosteronism Screenshot_20200307-125632-1 (Pathophysiology (Primary …
Hyperaldosteronism
Definition
A disorder in which the adrenal gland
Releases too much aldosterone into the blood.
Causes
Kidney artery narrowing
Kidney tumors
Bilateral adrenal hyperplasia
Solitary adrenal tumor
Liver disease
Shock
Clinical manifestations
Lack of muscle strength
Frequent voiding
Paralysis that comes and goes
Pins and needles feeling
Hypertension
Hyperkalemia
Increased thirst
Headache
Muscle twitching and cramps
Diagnostic procedures
Captopril challenge test
Saline infusion test
Fludrocortisone suppression test
Urinalysis
CT and MRI scans
Adrenal vein sample
Salt loading test
Nursing management
Monitor blood pressure
Daily weighing and their BMI
24 hourly urinalysis
Monitor hydration
Monitoring of electrolytes balances
Health education
Reduce alcohol and caffeine intake
Quit smoking
Achieve a healthy diet
Take a salt free diet
Treatment
Pharmacology
Antagonist-spironolactone
Amiloride
Eplerenone
Surgical procedures
Adrenalectomy
Pathophysiology
Primary hyperaldoateronism occurs due to;
Excessive production of aldosterone
Causing Idiopathic bilateral hyperplasia
In third patients due to a tumor
In the zona glomerulosa
Causing hypokalemia and hypertension
Secondary happens due to
The stimulation of Renal Artery stenosis
Causing decreased bloodflow and cardiac output
Resulting in.less perfussion through the kidneys
In the juxta-glomerular cell