Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 8 Endocrine System^341



  • Decreased prolactin due to a mass, causing diminished or lack of prolactin
    from the anterior pituitary.

  • Presence of a pituitary tumor shown on MRI.


TREATMENT



  • Administer replacement hormones (estrogen, testosterone, corticosteroids,
    growth hormone, and thyroid hormone).

  • Surgical removal of the pituitary tumor if it exists.


NURSING DIAGNOSES



  • Disturbed body image related to illness

  • Sexual dysfunction related to disease


NURSING INTERVENTION



  • Monitor weight daily because antidiuertic hormone (ADH) and adreno-
    cortiocotropic hormone (ACTH), from the pituitary, regulate fluid retention
    and excretion in the body.

  • Monitor intake and output to ensure the balance is equal due to hormone
    regulation.

  • Explain to the patient:

    • The need to take medication for the rest of the patient’s life.

    • The need for frequent laboratory tests.




Hyperpituitarism (Acromegaly and Gigantism)


WHAT WENT WRONG?


The pituitary gland produces an excessive amount of growth hormone. If hyper-
pituitarism occurs before epiphyseal closure, the patient (infants and children)
has gigantism, resulting in an overgrowth of all body tissues. If hyperpituitarism


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