(^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.