Hyperaldosteronism

 

 

 

 

Considerations

 

  • Hypertension & end-organ dysfunction:

    • Cardiomyopathy 

    • Cerebrovascular disease

    • Chronic kidney disease 

  • Fluid & electrolyte abnormalities:

    • Hypokalemia (weakness, potentiates non-depolarizing muscle relaxants)

    • Metabolic alkalosis

    • Volume depletion

    • Hypomagnesemia

  • Associated endocrine disorders:

    • Acromegaly

    • Pheochromocytoma

    • Primary hyperparathyroidism

    • Medications such as spironolactone 

  • Adrenalectomy:

    • Bilateral? Need steroids

    • Laparascopic vs. open (pain & disposition)

 


Optimization

 

  • Antihypertensive therapy

  • Correction of electrolyte abnormalities

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