Medical-surgical Nursing Demystified

(^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.