Surgical removal of the pituitary gland is called _____.
nursing care - watch for postoperative postnasal drip and keep HOB elevated. Watch for the presence of glucose (indicates CSF), it is a light yellow color at the edge of the clear drainage on the dressing called "halo sign"
teach pt to report postnasal drip
avoid bending from waist-increases ICP
avoid toothbrushing for 2 weeks
avoid straining during bowel movement
Diabetes insipidus is caused by _________.
ADH deficiency-results in the excretion of lg volumes of dilute urine, leading to polyuria and dehydration.
pts will have decreased mentation (weak & confused)
Meds for DI
Desmopressin-synthetic vasopressin is the drug of choice.
Syndrome of inappropriate antidiuretic hormone SIADH
In SIADH, vasopressin is secreted even when plasma osmolarity is low or normal
ADH continues to be released evven when plasma is hypo-osmolar. Water is retained, which results in dilutional hyponatremia and fluid overload.
***vasopressin AKA ADH
The anterior pituitary released an excess of TSH.
Manifestations of Grave's Disease
Hyperthyroidism causes Grave's Disease
pretibial myxedema-dry front of lower legs
Physical manifestations of hypothyroid
cool pale skin
dry, brittle hair
decreased basal metabolic rate
slowness or slurring of speech
Gradually give thyroid hormone IV to replace it.
Physical manifestations of hyperthyroid
What are you concerned about for a postop thyroidectomy?
keep a trach at the bedside
also monitor for bleeding
Hallmark of hyperthyroidism
visual changes may be first prob pt notices...esp exopthalmos with Grave's
Drug for hypothyroid
What electrolytes will pay close attention to in postop thyroidectomy?
calcium & photphorus balance because these are regulated by the parathyroid glands which could be damaged during a thyroidectomy.
What test will be ran for a pt with exopthalmos?
T3 & T4
Suspect _____ when a pt presents with a round or puffy face, with a dull expression.
Vitiligo, or patch skin pigment is related to hypofunction of ______
Striae are caused by _______
Cushing's disease is causes by ______
hyperpituitarism-ACTH (adrenocorticotropic hormone) release causes excessive production of glucocorticoids, mineralcorticoids, and androgens, leading to cushing's disease.
What endocrine condition would you suspect with a pt who has a high fever, tachycardia, and severe hypertension.
Immediately report a temp increase of even 1 degree