Hypopituitarysm
Definition: Hypopituitarism is a rare disorder in which your pituitary gland fails to produce one or more hormones, or doesn't produce enough hormones.
Health education: Emphasize the need for lifelong hormone replacement therapy, increased glucocorticoid replacement preceding and/or during stressful events, and prompt medical attention as appropriate. Tell them that regular follow-up visits with a healthcare provider are essential to ensure adequate hormone replacement and to prevent excessive hormone replacement. Encourage all patients to wear a medical-alert tag.
Causes
Pituitary tumors.
Poor blood supply to the pituitary gland.
Infections or inflammatory diseases of the brain.
Radiation treatment.
Surgery to remove pituitary tissue.
Autoimmune diseases.
Brain injury.
Genetic diseases and syndromes.
Clinical manifestations
Stomach pain, decreased appetite, nausea and vomiting, constipation.
Excessive thirst and urination.
Fatigue and/or weakness.
Anemia (not having enough red blood cells)
Headache and dizziness.
Sensitivity to cold.
Weight loss or weight gain.
Muscles aches.
Diagnostics
Stimulation or dynamic testing.
Blood tests
Magnetic resonance imaging (MRI)
high-resolution computerized tomography (CT)
Vision tests.
Pathophysiology: Hypopituitarism is a health condition characterized by the reduced production of hormones from the pituitary gland. The pathophysiology of hypopituitarism usually involves damage to the pituitary gland, which renders it unable to produce one or more hormones in the normal manner.
Nursing care plan
Hormone replacement
Treat all the symptoms presanted
Use drugs to replace or return hormones to their normal levels
Pharmacological management
Corticosteroids.
Sex hormones.
Growth hormone
Levothyroxine (Levoxyl, Synthroid)
Fertility hormones.
Management
Correct the underlying factor
Use glucocorticoids during stressful events
Life time hormone replacement
Treat the cause
The patient must be given date of return to the clinical facility