Hypopituitarism
- General information
- Hypofunction of the anterior pituitary gland resulting in deficiencies of both the hormones secreted by the anterior pituitary gland and those secreted by the target glands
- May be caused by tumor, trauma, surgical removal, or irradiation of the gland; or may be congenital (See Pituitary Dwarfism, in Unit 5)
- Medical management: specific treatment depends on cause
- Tumor: surgical removal or irradiation of the gland
- Regardless of cause, treatment will include replacement of deficient hormones: e.g., cortico-steroids, thyroid hormone, sex hormones, gonadotropins (may be used to restore fertility).
- Assessment findings
- Tumor: bitemporal hemianopia, headache
- Varying signs of hormonal disturbances depending on which hormones are being undersecreted (e.g., menstrual dysfunction, hypothyroidism, adrenal insufficiency)
- Retardation of growth if condition occurs before epiphyseal closure
- Diagnostic tests
- Skull x-ray, CT scan may reveal pituitary tumor
- Plasma hormone levels may be decreased depending on specific hormones undersecreted
- Nursing interventions
- Provide care for the client undergoing hypophysectomy or radiation therapy if indicated.
- Provide client teaching and discharge planning concerning
- Hormone replacement therapy
- Importance of follow-up care
Monday, May 19, 2008
|
Labels:
endocrine disorder
|
This entry was posted on Monday, May 19, 2008
and is filed under
endocrine disorder
.
You can follow any responses to this entry through
the RSS 2.0 feed.
You can leave a response,
or trackback from your own site.
Subscribe to:
Post Comments (Atom)
0 comments:
Post a Comment