Pituitary tumours
Usually a benign pituitary adenoma
S&S of Pituitary tumours
headache from pressure of tumor, visual disturbance, personality changes,
weakness, fatigue, and vague abdominal pain
Diagnosis of Pituitary Tumors
Complete history, physical exam, MRI, CT
Treatment of Pituitary Tumors
Hormone therapy, radiation, surgery (hypophysectomy)
Hypophysectomy Post-op Nursing Management
Semi-Fowler's position, note any changes in vision, mental status, LoC, or
strength, S&S of diabetes insidious, nasal packing, patient teaching
Diabetes Insipidus (DI)
Central DI: associated with brain tumors, head injury, neurosurgery, or CNS
infections
Nephrogenic DI: caused by drug therapy (lithium) or kidney disease
Dispogenic DI: caused by excessive water intake (sometimes associated with
schizophrenia
Diabetes Insipidus Diagnosis
Complete history, physical exam, urine and plasma osmolality and urine
specific gravity, water deprivation test
Treatment and Nursing Management of Diabetes Insipidus
Replacement of fluid and electrolytes, hormone therapy, early detection,
monitoring vital signs and weight, strict hourly intake and output monitoring
, Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Excessive amounts of ADH are produced, resulting in fluid retention
S&S of Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Confusion, seizure, loss of consciousness, weight gain, and edema
Hyponatremia - muscle cramps, and weakness
Diminished urine output
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Diagnosis
Urine and serum osmolality tests, Blood urea nitrogen (BUN), hemoglobin,
hematocrit, and creatinine clearance
Treatment and Nursing Management of Syndrome of Inappropriate Antidiuretic
Hormone (SIADH)
Correct the underlying cause, restrict fluids to 500 to 1000ml/day, administer
sodium chloride, diuretics, and demeclocycline
We have an expert-written solution to this problem!
Hyperthyroidism
Increased metabolic rate, increased beta receptors
Primary = Too much TH
Secondary = Too much TSH
Hyperthyroidism causes
Autoimmune (Grave's Disease), multi nodular goiter, toxic adenoma,
thyroiditis, pituitary tumor, Synthroid overdose
Hyperthyroidism S&S
Hyper metabolic state, heat intolerance, increased appetite, weight loss,
tachycardia, palpitations, tremor, heart failure, warm smooth skin,
Exophthalmos (Grave's disease)
Hyperthyroidism Diagnosis
Usually a benign pituitary adenoma
S&S of Pituitary tumours
headache from pressure of tumor, visual disturbance, personality changes,
weakness, fatigue, and vague abdominal pain
Diagnosis of Pituitary Tumors
Complete history, physical exam, MRI, CT
Treatment of Pituitary Tumors
Hormone therapy, radiation, surgery (hypophysectomy)
Hypophysectomy Post-op Nursing Management
Semi-Fowler's position, note any changes in vision, mental status, LoC, or
strength, S&S of diabetes insidious, nasal packing, patient teaching
Diabetes Insipidus (DI)
Central DI: associated with brain tumors, head injury, neurosurgery, or CNS
infections
Nephrogenic DI: caused by drug therapy (lithium) or kidney disease
Dispogenic DI: caused by excessive water intake (sometimes associated with
schizophrenia
Diabetes Insipidus Diagnosis
Complete history, physical exam, urine and plasma osmolality and urine
specific gravity, water deprivation test
Treatment and Nursing Management of Diabetes Insipidus
Replacement of fluid and electrolytes, hormone therapy, early detection,
monitoring vital signs and weight, strict hourly intake and output monitoring
, Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Excessive amounts of ADH are produced, resulting in fluid retention
S&S of Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Confusion, seizure, loss of consciousness, weight gain, and edema
Hyponatremia - muscle cramps, and weakness
Diminished urine output
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Diagnosis
Urine and serum osmolality tests, Blood urea nitrogen (BUN), hemoglobin,
hematocrit, and creatinine clearance
Treatment and Nursing Management of Syndrome of Inappropriate Antidiuretic
Hormone (SIADH)
Correct the underlying cause, restrict fluids to 500 to 1000ml/day, administer
sodium chloride, diuretics, and demeclocycline
We have an expert-written solution to this problem!
Hyperthyroidism
Increased metabolic rate, increased beta receptors
Primary = Too much TH
Secondary = Too much TSH
Hyperthyroidism causes
Autoimmune (Grave's Disease), multi nodular goiter, toxic adenoma,
thyroiditis, pituitary tumor, Synthroid overdose
Hyperthyroidism S&S
Hyper metabolic state, heat intolerance, increased appetite, weight loss,
tachycardia, palpitations, tremor, heart failure, warm smooth skin,
Exophthalmos (Grave's disease)
Hyperthyroidism Diagnosis
