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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