A 52-year old woman was admitted to the hospital because of several episodes of dizziness and...
A 52-year old woman was admitted to the hospital because of several episodes of dizziness and lightheadedness that caused her to occasionally fall. These episodes were associated with palpitations and diaphoresis. The symptoms would improve when she sat down. Her heart rate was often very rapid (> 120 beats per minute) when she would stand. She had a history of hypertension and occasional atrial fibrillation (she is normally in sinus rhythm though). Upon being admitted to the hospital she was taking the following medications: metoprolol, furosemide, and propafenone. A transthoracic echocardiogram showed a left ventricular ejection fraction of 76% without any wall motion abnormalities. Subsequent blood work demonstrated high levels of catecholamines.
- She was subsequently found to have an adrenal pheochromocytoma. What is this?
- An adrenalectomy was performed. Why?
Homework Answers
Pheochromocytoma is a tumour which is developed in adrenal glands.This tumour may be benign and sometimes malignant.It occurs and emerge from chromoffin of the adrenal medulla.
The tumour releases catecolamine which causes high blood pressure.If it is untreated it cause cardiovascular problems and may be fatal.
2) Adrenalectomy is the removal of adrenal glands either it may be one or both.It is done when a tumor is present in adrenal gland.And it is performed to stop the adrenal hormone excesses secretion.
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While walking to work, Mio has a sudden onset of dizziness and
feels faint. In addition, she experiences diaphoresis (excessive
sweating) and palpitations (rapid, fluttering heart). When she
arrives at her office, her concerned colleagues call an
ambulance.
In the emergency department, the nurse and doctor make the
following notes in Mio’s record:
55-year-old female, blood pressure = 162/110 mm Hg, on
metoprolol, furosemide, propafenone.
Blood pressure dropped upon standing to 102/65 mmHg, and
palpitations were observed.
After receiving a...
Based on the data above, what are priority nursing
assessments for this patient’s initial post-hospital
visit?
Diagnosis PMH Vital Signs - Current Hospital Assessment data shared with the primary care provider Atrial Fibrillation (new onset) HF, HTN, Glaucoma 128/76-90 (irregular)-20 98.4F and 98% Weight (Baseline): 146 Lung clear History of Present illness Renal function within normal. She went to the Emergency Department with complaints of Shortness of Breath (SOB), palpitations, fatigue and feeling anxious. She was admitted for two days...
Based on data above,
What are potential post-hospital medication problems that are
common?
Diagnosis PMH Vital Signs - Current Hospital Assessment data shared with the primary care provider Atrial Fibrillation (new onset) HF, HTN, Glaucoma 128/76-90 (irregular)-20 98.4F and 98% Weight (Baseline): 146 Lung clear History of Present illness Renal function within normal. She went to the Emergency Department with complaints of Shortness of Breath (SOB), palpitations, fatigue and feeling anxious. She was admitted for two days and diagnosed with...
After reviewing the patient information, what are your
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