Medical-surgical Nursing Demystified

(^354) Medical-Surgical Nursing Demystified
TREATMENT

• Surgical removal of the adrenal tumor.


• Administer antihypertensive medication to help lower blood pressure.


• Administer beta blockers to diminish effects of epinephrine and norepinephrine:
  
  
  • nifedipine
  
  
  • nicardipine
  
  
  • propranolol
  
  
  
  

NURSING DIAGNOSES

• Risk for delayed surgical recovery


• Ineffective tissue perfusion (cardiac)


• Anxiety

NURSING INTERVENTION

• Monitor blood pressure.


• Administer medication to control hypertension.


• Monitor urine for catecholamines.


• Decrease stress.


• Explain to patient:
  
  
  • Quit smoking to help lower blood pressure.
  
  
  • Reduce caffeine to help lower blood pressure.
  
  
  
  

Hypoparathyroidism

WHAT WENT WRONG?

Hypoparathyroidism is diminished functioning of the parathyroid glands

leading to low levels of PTH, which causes hypocalcemia. The primary cause of

13