for nursing students

1. SECONDARY
HYPERALDOSTERONISM
ALIYA RAHMAN

2. DEFINITION
 Common clinical condition occurs
secondary to some cause which stimulate
RAAS. It is either physiological or
pathological

3. ETIOLOGY
 Physiologic causes –
Salt depletion- inadequate salt intake,
excessive salt through kidney or GI
Pregnancy- progesterone stimulate
aldosterone production
 pathologic causes-
Hypoperfusion of kidney – nephrotic
syndrome, liver cirrhosis, CHF, diuretic
therapy

4.  Renal ischemia- malignant
hypertension,RAS
 High renin production by juxta glomerular
apparatus

5. DIAGNOSIS
 Plasma sodium level- normal or near
normal
 Plasma potassium level – low
 Plasma renin and aldosterone- elevated

6. MANAGEMENT
 TREAT UNDERLYING CAUSE
 Salt depletion- normal saline infusion
 Nephrotic syndrome, cirrohsis of liver CHF,
-SPIRONOLACTONE+ LOOP DIURETIC
 Renal ischemia- ACE INHIBITORS
 RAS- TRANSLUMINAL ANGIOPLASTY
 Diuretic therapy- use potassium sparing
diuretics.

7. THANK YOU