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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