NSG 4100 EXAM 2
What will the assessment include for a patient with pheochromocytoma?
labs, imaging, s/s. do NOT palpate/percuss (tumor below)
Diagnostic tests used to dx for Pheochromocytoma
clonidine suppression test, 24 hour urine for catecholamines and metonephrine,
abdominal ultrasound
What are patients with macrovascular complications at r/f?
MI, stroke, PE
How does macrovascular disease develop?
blood vessels walls thicken > sclerosis > occluded by plaque > blocked blood flow
occurs
Where is aldosterone secreted?
adrenal gland
,what is hyperaldosteronism called?
Conn's syndrome
Conn's syndrome
increased Na, increased BP, decreased K+
What is hypoaldosteronism called?
Addisons Disease
Sign and Symptoms of Addison's Disease?
decreased Na, decreased BP, increased K+, fatigue, muscle weakness, dark skin
pigmentation, hypotension, hypoglycemia
Signs and Symptoms of Addisonian crisis
decreased LOC, hypotension, flu like symptoms (N/V)- call DR!!
Tx of Addison’s/ Addisonian crisis
, First- FLUIDS!!! then steroids
Pheochromocytoma
a benign tumor of the adrenal medulla that causes the gland to produce excess
catecholamines
What does pheochromocytoma cause?
fight/ flight response
5 H's of pheochromocytoma
Hypertension (MOST DANGEROUS)
Headache
Hyperhidrosis (excess sweating)
Hypermetabolism
Hyperglycemia
Treatment of pheochromocytoma
adrenalectomy, elevate HOB 30 degrees, give alpha adrenergic blockers (SE:
hypotension, increased HR, nasal congestion), give beta blockers (hold if HR below
60)
What will the assessment include for a patient with pheochromocytoma?
labs, imaging, s/s. do NOT palpate/percuss (tumor below)
Diagnostic tests used to dx for Pheochromocytoma
clonidine suppression test, 24 hour urine for catecholamines and metonephrine,
abdominal ultrasound
What are patients with macrovascular complications at r/f?
MI, stroke, PE
How does macrovascular disease develop?
blood vessels walls thicken > sclerosis > occluded by plaque > blocked blood flow
occurs
Where is aldosterone secreted?
adrenal gland
,what is hyperaldosteronism called?
Conn's syndrome
Conn's syndrome
increased Na, increased BP, decreased K+
What is hypoaldosteronism called?
Addisons Disease
Sign and Symptoms of Addison's Disease?
decreased Na, decreased BP, increased K+, fatigue, muscle weakness, dark skin
pigmentation, hypotension, hypoglycemia
Signs and Symptoms of Addisonian crisis
decreased LOC, hypotension, flu like symptoms (N/V)- call DR!!
Tx of Addison’s/ Addisonian crisis
, First- FLUIDS!!! then steroids
Pheochromocytoma
a benign tumor of the adrenal medulla that causes the gland to produce excess
catecholamines
What does pheochromocytoma cause?
fight/ flight response
5 H's of pheochromocytoma
Hypertension (MOST DANGEROUS)
Headache
Hyperhidrosis (excess sweating)
Hypermetabolism
Hyperglycemia
Treatment of pheochromocytoma
adrenalectomy, elevate HOB 30 degrees, give alpha adrenergic blockers (SE:
hypotension, increased HR, nasal congestion), give beta blockers (hold if HR below
60)
