Hyperpituitarism Flashcards
Hyperfunction of the anterior pituitary hormones
Hyperpituitarism
Causes of hyperpituitarism
Benign pituitary adenoma; may result from
hyperplasia of pituitary tissues
Assessment for hyperpituitarism
Large hand and feet
Thickening and protrusion of jaw
Visual disturbances
Diaphoresis
Oily rough skin
Deepening of voice
Nursing interventions for hyperpituitarism
PPPP
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
an effective surgical technique for removing pituitary and other intrasellar tumors
Transsphenoidal Hypophysectomy
Complications of transsphenoidal hypophysectomy
Hypopituitarism
Infection
CSF leakage
Site of incision in transsphenoidal hypophysectomy
between the upper lip and upper gum
Postoperative interventions for Site of incision in transsphenoidal hypophysectomy
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
Avoid in transsphenoidal hypophysectomy
sneezing, coughing, and blowing the nose and
activities that increase ICP
Brushing technique for patients after transsphenoidal hypophysectomy
brush teeth gently with an ultrasoft toothbrush/toothettes for at least 2 weeks following surgery
to prevent trauma to the incision
In monitoring postnasal drip or drainage in transsphenoidal hypophysectomy, drainage is checked for __
glucose
In transsphenoidal hypophysectomy, report output above __ ml/2 hours or urine specific
gravity below ___
900 ml/2hr; 1.004
indicates DI
Hormone replacement in transsphenoidal hypophysectomy
Glucocorticoids
