Treatments for Primary Hyperaldosteronism
Hospital statistics for Primary Hyperaldosteronism:
These medical statistics relate to hospitals, hospitalization and Primary Hyperaldosteronism:
- 0.0016% (201) of hospital consultant episodes were for hyperaldosteronism in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 92% of hospital consultant episodes for hyperaldosteronism required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 52% of hospital consultant episodes for hyperaldosteronism were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 48% of hospital consultant episodes for hyperaldosteronism were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
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Book Excerpts: Treatment of Primary Hyperaldosteronism
Treatments of Primary Hyperaldosteronism: Online Medical Books
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Muscle Weakness – Proximal:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Combination of physical therapy, bracing, and orthopedic surgical interventions can help patients maintain functional motor skills
-
Duchenne muscular dystrophy
–Oral prednisone to increase and sustain muscle strength
-
Endocrine myopathies
–Treating the underlying endocrine disease corrects the myopathy and weakness
-
Dermatomyositis
–Oral prednisone
–If resistant to oral steroids, immunosuppression with high-dose intravenous steroids, methotrexate, cyclophosphamide or intravenous immunoglobulins
-
Transverse myelitis
–Treat with high-dose intravenous steroids
-
Myasthenia gravis
–Acetylcholinesterase inhibitors (pyridostigmine), immunosuppression, and thymectomy
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Muscle Weakness – Distal:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Acute demyelinating disorders (GBS, CIDP)
–Often respond to intravenous gamma-globulin
-
Medication/chemotherapy-induced neuropathies
–Often improved after cessation of the offending medication
–Response is time-dependent; may take up to months
-
Toxic exposures
–Often difficult to detect, unless resulting from acute overdose
-
Metabolic neuropathies are treated supportively
-
Braces often assist with foot drop for both acquired and congenital neuropathies
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Hyperaldosteronism:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Although treatment of primary hyperaldosteronism may include unilateral adrenalectomy, administration of a potassium-sparing diuretic — spironolactone — and sodium restriction may control hyperaldosteronism without surgery. For bilateral adrenal hyperplasia, spironolactone is the drug of choice. Treatment of secondary hyperaldosteronism must include correction of the underlying cause.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Weight gain, excessive:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Educating the patient about weight control is extremely important. Stress the benefits of behavior modification and dietary compliance. Help the patient plan an appropriate exercise routine.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Hyper-aldosteronism:
Treatment
(Handbook of Diseases)
The treatment for aldosterone-producing adenoma is unilateral adrenalectomy. Potassium-sparing diuretics (spironolactone and amiloride) are used to control hyperaldosteronism in patients with bilateral hyperplasia or those with unilateral adenoma who are unable to undergo surgery.
Treatment of secondary hyperaldosteronism must include correction of the underlying cause.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Weight gain, excessive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Educating the patient about weight control is extremely important. Stress the benefits of behavior modification and dietary compliance. Help the patient plan an appropriate exercise routine.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Muscle weakness:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient how to safely use assistive devices. Make sure he understands the importance of frequent position changes to reduce the risk of pressure ulcer formation. Encourage him to plan frequent rest periods throughout the day.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Weight loss, excessive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Refer your patient for psychological counseling if weight loss negatively affects his body image. Teach the patient about his diet and recommend that he keep a food diary. Determine his food preferences and try to incorporate them into his diet. Encourage oral hygiene before meals to make the food more palatable.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Weight gain, excessive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Refer the patient for psychological counseling, as necessary.
▪ If the patient is obese or has a cardiopulmonary disorder, monitor exercise closely.
▪ Perform studies to rule out possible secondary causes should include serum thyroid-stimulating hormone determination and dexamethasone suppression testing.
▪ Perform laboratory tests for thyroid function and serum cholesterol, triglyceride, and glucose levels.
Patient teaching
▪ Explain to the patient the cause of weight gain, if known.
▪ Teach the patient about appropriate dietary choices and discuss an individualized exercise plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Muscle weakness:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Provide assistive devices as necessary.
▪ Protect the patient from injury.
▪ If sensory loss occurs, guard against pressure ulcer formation and thermal injury.
▪ With chronic weakness, provide ROM exercises or splint limbs as necessary.
▪ Allow for adequate rest periods.
▪ Administer pain medications as needed.
▪ Prepare the patient for blood tests, muscle biopsy, electromyography, nerve conduction studies, and X-rays or computed tomography scans.
Patient teaching
▪ Teach the patient how to use assistive devices as necessary.
▪ Explain the importance of frequent position changes and rest periods.
▪ Explain the cause of muscle weakness and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Weight loss, excessive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Take daily calorie counts and weigh the patient weekly.
▪ Consult a nutritionist to determine an appropriate diet and nutritional supplements with adequate calories.
▪ Administer hyperalimentation or tube feedings to maintain nutrition, as needed.
Patient teaching
▪ Provide instruction in proper nutrition and keeping a food diary.
▪ Instruct the patient in proper oral hygiene.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Gait, steppage [Equine gait, paretic gait, prancing gait, weak gait]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Because the patient may tire rapidly due to the extra effort needed to lift his feet off the ground, assess him for fatigue, which may cause him to stub his toes and fall.
▪ Take appropriate safety measures to reduce the risk of falls.
▪ Refer him to a physical therapist, if appropriate, for gait retraining and possible application of in-shoe splints or leg braces to maintain correct foot alignment.
▪ Assist the patient with ambulation.
Patient teaching
▪ Help the patient recognize his exercise limits and encourage him to get adequate rest.
▪ Teach the patient how to use splints and braces.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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Doctors and Medical Specialists for Primary Hyperaldosteronism
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