Pituitary gland Tumors

Pathophysiology

Characterized by a combination of abnormal
Cell proliferation (adenomas)

Dysregulated hormone hypersecretion
underlying pathogenisis

Causes

Signs and symptoms

Tumor related

Headache

Vision loss

Hormone level related

Nausea and vomiting

Unintended weight loss or gain

Feeling cold or very hot

Sexual dysfunction

DNA mutations cause cells in the pituitary gland grow and divide uncontrollably on the pituitary gland

Nursing care plan

Treatment

Nursing diagnosis

Acute pain

Nausea

Hyperthermia

Transsphenoidal hypophysectomy surgery

bromocriptine

Nursing intervention

Provide pharmacologic and nonpharmacologic pain management.

Outcome

Patient displays improvement in mood and is coping.

Decreased severity or eliminated report of nausea

Eliminate strong odors from the surrounding

Provide a tepid bath or sponge bath

Body temperature is maintained within normal ranges

Diagnostic tests

MRI

Disturbed sleeping pattern

Patient obtains optimal sleep

Educate pt. to avoid smoking, caffeine and heavy before bedtime

CT scan

Taking blood samples

Cabergoline

References

Asa SL, Ezzat S. 1998 The cytogenesis and pathogenesis of pituitary adenomas. Endocr Rev. 19(6):798–827.

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