Medical-surgical Nursing Demystified

(Sean Pound) #1

(^344) Medical-Surgical Nursing Demystified



  • Serum testosterone, FSH, LH, prolactin, and estradiol may be decreased in
    hypogonadism.

  • Pituitary tumor present in MRI.


TREATMENT



  • Administer dopamine agonists:

    • bromocriptine

    • cabergoline to shrink pituitary tumor and return prolactin to normal
      levels



  • Discontinue medications that may be causing the pituitary glands to over-
    produce prolactin:

    • amphetamines

    • estrogens

    • methyldopa

    • narcotics

    • protease inhibitors

    • risperidone

    • selective serotonin inhibitors

    • tricyclic inhibitors

    • verapamil



  • Radiation therapy to reduce the pituitary tumor.

  • Surgical removal of the pituitary tumor.


NURSING DIAGNOSES



  • Disturbed body image related to illness or illness treatment

  • Sexual dysfunction related to disease (related to loss of libido, infertility,
    impotence)


NURSING INTERVENTIONS



  • Monitor serum hormone levels to assure that medication is improving the
    patient’s condition.

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