Hyperpituitarism Flashcards

1
Q

Hyperfunction of the anterior pituitary hormones

A

Hyperpituitarism

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2
Q

Causes of hyperpituitarism

A

Benign pituitary adenoma; may result from
hyperplasia of pituitary tissues

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3
Q

Assessment for hyperpituitarism

A

Large hand and feet
Thickening and protrusion of jaw
Visual disturbances
Diaphoresis
Oily rough skin
Deepening of voice

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4
Q

Nursing interventions for hyperpituitarism

PPPP

A

Provide emotional support to the client and family–related to disturbed body image.
Provide frequent skin care.
Prepare the client for radiation of the pituitary gland if prescribed.
Prepare the client for hypophysectomy if planned

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5
Q

an effective surgical technique for removing pituitary and other intrasellar tumors

A

Transsphenoidal Hypophysectomy

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6
Q

Complications of transsphenoidal hypophysectomy

A

Hypopituitarism
Infection
CSF leakage

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7
Q

Site of incision in transsphenoidal hypophysectomy

A

between the upper lip and upper gum

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8
Q

Postoperative interventions for Site of incision in transsphenoidal hypophysectomy

A

Monitor v/s, neuro status, LOC
Elevate HOB at least 2 weeks (promote venous drainage)
Monitor for increased ICP
Monitor for bleeding
Maintain nasal packing
Monitor I and O (avoid water intoxication)
Administer oral mouth rinse

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9
Q

Avoid in transsphenoidal hypophysectomy

A

sneezing, coughing, and blowing the nose and
activities that increase ICP

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10
Q

Brushing technique for patients after transsphenoidal hypophysectomy

A

brush teeth gently with an ultrasoft toothbrush/toothettes for at least 2 weeks following surgery

to prevent trauma to the incision

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11
Q

In monitoring postnasal drip or drainage in transsphenoidal hypophysectomy, drainage is checked for __

A

glucose

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12
Q

In transsphenoidal hypophysectomy, report output above __ ml/2 hours or urine specific
gravity below ___

A

900 ml/2hr; 1.004

indicates DI

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13
Q

Hormone replacement in transsphenoidal hypophysectomy

A

Glucocorticoids

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