Pheochromocytoma Flashcards
1
Q
what is pheochromocytoma?
A
a tumor, 90% in the adrenal medulla, 10% located outside of the adrenal medulla
2
Q
causes of pheochromocytoma
A
hyper secretion of catecholamines (EPI/NOREPI) resulting in stimulation of sympathetic response
3
Q
major risk with pheochromocytoma
A
Hypertensive emergencies can lead to:
-cardiac dysrhythmias
-dissecting aneurysm
-stroke
-acute kidney failure
4
Q
what would a patient who has pheochromocytoma present with?
A
-hypertension
-headache
-hyperhidrosis (excessive sweating)
-hypermetabolism
-hyperglycemia
5
Q
treatment
A
adrenalectomy (one or both)
6
Q
goals of treatment before & during surgery
A
control hypertension & volume expansion
7
Q
pre surgery management
A
treat:
-hypertension
-monitor cardiac function
-treat headaches
-get them on steroids
