Presentation on theme: "1 Nursing Care & Interventions in Clients with Pituatary/Adrenal Gland Disorders Keith Rischer RN, MA, CEN."— Presentation transcript:
1 Nursing Care & Interventions in Clients with Pituatary/Adrenal Gland Disorders Keith Rischer RN, MA, CEN
2 Todays Objectives… Compare and contrast pathophysiology & manifestations of pituitary/adrenal gland dysfunction. Identify, nursing priorities, and client education associated with pituitary/adrenal gland dysfunction. Interpret abnormal laboratory test indicators of pituitary/adrenal gland dysfunction. Analyze assessment to determine nursing diagnoses and formulate a plan of care for clients with pituitary and adrenal gland dysfunction. Describe the mechanism of action, side effects and nursing interventions of pharmological management with pituitary and adrenal gland dysfunction.
8 Hypophysectomy Post op Care Closely monitor neuros Assess for postnasal driphalo sign Avoid coughing early after the surgery. Keep HOB elevated Assess for meningitis Replace hormones and glucocorticoids as needed Diabetes insipidus Assess I&O closely first 24 hours
Posterior Pituitary Gland: Diabetes Insipidus 9 Patho Antidiuretic hormone deficiency Water unable to be reabsorbed
17 Addisons Disease: Interventions Promote fluid balance and monitor for fluid deficit. Careful I&O Record weight daily Assess vital signs every 1 to 4 hours, assess for dysrhythmias or postural hypotension. Monitor laboratory values Na K Glucose Cortisol and aldosterone replacement therapy Diet - sodium, potassium, Carbs
21 Medical Management Drug therapy Mitotane If caused by side effect of medication try to decrease or change meds Radiation therapy Pituitary tumors
22 Cushings: Surgical Management Total hypophysectomy Adrenalectomy Preoperative care Correct lyte imbalances Postoperative care Prevent skin breakdown Pathologic fractures Education regarding lifelong steroid use Take with meals Never skip doses Weigh daily