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PITUITARY GLAND (ACROMEGALY (NURSING DAIGNOSIS (Disturbed Body Image…
PITUITARY GLAND
ACROMEGALY
CAUSES
In most cases, acromegaly is caused by over-secretion of growth hormone (GH) produced by a benign tumor of the pituitary gland.
malignant tumors of other organs (pancreas, adrenal, lung) may be the source of excess GH.
SYMPTOMS
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Enlargement of the liver, kidneys, spleen, heart, and/or other internal organs, which can lead to:
Deepening voice due tenlarged sinuses, vocal cords, and soft tissues of the throat
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SURGICAL MANAGEMENT
Surgical removal of the pituitary tumor, or other tumor
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NURSING DAIGNOSIS
Disturbed Body Image related to anxiety over thickened skin and enlargement of face, hands, and feet.
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PATHOPHYSIOLOGY
Acromegaly is,chronic and disabling disorder of body growth and endocrine dysfunction in adults that is caused by excessive levels of GH.
The excess production of GH causes enlargement of tissues and an altered production of glucocorticoids, mineralocorticoids, and gonadotropins
NURSING MANAGEMENT
Physical findings: Respiratory rate and pattern; nasal drainage: color, amount.
monitor Level of consciousness, motor strength, sensation,
Monitor the presence of postoperative complications: Diabetes insipidus, hypopituitarism, meningitis
Psychosocial assessment: Self-esteem, coping, interpersonal relationships, and sexual dysfunction.
Focus education on the cause of the disease, the prescribed medical regimen, and preparation for surgery
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MEDICAL MANAGEMENT
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Correct other endocrine abnormalities (thyroid, adrenal, sex organs)
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GIGANTISM
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PATHOPHYSIOLOGY
Gigantism refers to a condition characterized by excessive longitudinal growth beyond the patient’s genetic target
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HYPOPHYSECTOMY
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PRE-OPERATIVE CARE
Assess the amount, and assess for the "halo sign"
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Prevents undue tension and dislocation of IV lines, NG tubes, catheters, and chest tubes
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Administer parenteral fluids, blood products s odered
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POST-OPERATIVE CARE
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Review intraoperative or recovery room record for type of anesthesia and medications previously administered
Assess vital signs, noting tachycardia, hypertension, and increased respiration
Evaluate pain regularly (every 2 hrs noting characteristics, location, and intensity (0–10 scale)
Analgesics given IV reach the pain centers immediately,