Primary Aldosteronism (Conn’s Syndrome)

A. General information

1. Excessive aldosterone secretion from the adrenal cortex

2. Seen more frequently in women, usually between ages 30-50

3. Caused by tumor or hyperplasia of adrenal gland

B. Assessment findings

1. Headache, hypertension

2. Muscle weakness, polyuria, polydipsia, metabolic alkalosis, cardiac arrhythmias (due to hypokalemia)

3. Diagnostic tests

a. Serum potassium decreased alkalosis

b. Urinary aldosterone levels elevated

C. Nursing interventions

1. Monitor vital signs, I & O, daily weights

2. Maintain sodium restriction as ordered

3. Administer spironolactone (Aldactone) and potassium supplements as ordered

4. Prepare the client for an adrenelectomy (this page) if indicated

5. Provide client teaching and discharge planning concerning

a. Use and side effects of medication if the client is being maintained on spironolactone therapy

b. Signs of symptoms of hypo/hyperaldosteronism

c. Need for frequent blood pressure checks and follow-up care