NUR 2462C Chapter Notes - Chapter Test 5: Desmopressin, Growth Hormone Deficiency, Sella Turcica
10 Feb 2020
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Image disturbances, sexual dysfunction, depression, fatigue, sleep disturbances. Pituitary surgery: hypophysectomy surgical removal of the pituitary gland; tumors in the pituitary area; endoscopic transsphenoidal approach; requires lifelong replacement therapy of thyroid hormone, sex hormones, glucocorticoids, nursing management. Endocrine problems: sodium levels of less than 125 meq/l headache, vomiting, decreased loc, adh, cortisol, thyroid hormone replacement. Interprofessional care: antithyroid medications, radioactive iodine therapy, surgical interventions, drug therapy, antithyroid drugs. Improvement usually begins in 1 to 2 weeks after the start of drug therapy. Good results are usually seen within 4 to 8 weeks. Therapy is usually continued for 6 to 15 months to allow for spontaneous remission. Endocrine problems daily at home; not preparing food for others that requires prolonged handling with bare hands; avoiding being close to pregnant women and children for 7 days after therapy: surgical therapy, nutritional therapy. Increase carbohydrates, increase calories, increase protein: nursing management, nursing assessment, nursing diagnoses, planning, nursing implementation, acute care.
