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Hyperpituitarism: Definition, Causes, Symptoms, Assessment, and Treatment, Quizzes of Nursing

Definitions, causes, symptoms, assessment methods, and treatments for hyperpituitarism, a condition characterized by hormone oversecretion from the pituitary gland due to tumors or tissue hyperplasia. It covers topics such as symptoms, assessment methods, drug therapy, and surgical interventions.

Typology: Quizzes

2013/2014

Uploaded on 02/20/2014

nurserowelpn
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TERM 1
hyperptiuitarism is
DEFINITION 1
hormone over secretion that occurs with pituitary
tumors or tissue hyperplasia.
TERM 2
cause of hyperpituitarism is
DEFINITION 2
tumor
TERM 3
what are the symptoms of
hyperpituitarism
DEFINITION 3
Headache
Visual field loss or Double Vision
Excessive sweating
Hoarseness
Milk secretion from breast
Sleep Apnea
Carpal Tunnel Syndrome
Joint pain and limitation of motion
Muscle weakness
Numbness or tingling of skin
hoarsness
double vision
headache
TERM 4
assessment of someone with hyperpituitarism
shows
DEFINITION 4
(large, "doughy" hands; large feet; large face; enlarged jaw;
tongue problems; big forehead; darkened skin in armpits; widely
spaced teeth; oily, tough skin; skin pigmentation changes darker
or lighter; excessive hair growth in females; high blood
pressure;goiter(enlargedthyroid);kyph osisor loss of disc spaces of
the spine;osteoporosis;osteoarthritis), t
TERM 5
lab values include
DEFINITION 5
(growth hormone level is high, even when patient
receivesglucoseload;diabetesoccurs in 30% of cases;
elevated IGF-1; elevatedprolactinlevel; elevatedliverfunction;
elevated blood urea nitrogen; elevatedphosphorus;
decreased freethyroxine; elevated thyroid stimulating
hormone)
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hyperptiuitarism is

hormone over secretion that occurs with pituitary

tumors or tissue hyperplasia.

TERM 2

cause of hyperpituitarism is

DEFINITION 2

tumor

TERM 3

what are the symptoms of

hyperpituitarism

DEFINITION 3

Headache

Visual field loss or Double Vision

Excessive sweating

Hoarseness

Milk secretion from breast

Sleep Apnea

Carpal Tunnel Syndrome

Joint pain and limitation of motion

Muscle weakness

Numbness or tingling of skin

hoarsness

double vision

headache

TERM 4

assessment of someone with hyperpituitarism

shows

DEFINITION 4

(large, "doughy" hands; large feet; large face; enlarged jaw;

tongue problems; big forehead; darkened skin in armpits; widely

spaced teeth; oily, tough skin; skin pigmentation changes darker

or lighter; excessive hair growth in females; high blood

pressure;goiter(enlargedthyroid);kyphosisor loss of disc spaces of

the spine;osteoporosis;osteoarthritis), t

TERM 5

lab values include

DEFINITION 5

(growth hormone level is high, even when patient

receivesglucoseload;diabetesoccurs in 30% of cases;

elevated IGF-1; elevatedprolactinlevel; elevatedliverfunction;

elevated blood urea nitrogen; elevatedphosphorus;

decreased freethyroxine; elevated thyroid stimulating

hormone)

drug therapy for hyperpituitarism is

dopamine agonists - parlodel, dostinex, permax

TERM 7

what are the side effects of bromocriptine

DEFINITION 7

orthostatic hyptension, gastric irriation, nausea, headaches,

abdominal cramps, and constipation.do not give if pregnant

TERM 8

how should promocriptine be given

DEFINITION 8

give with a meal or snack to reduce side effects

TERM 9

hyperpituitarism is also

called

DEFINITION 9

acromegaly and gigantism

TERM 10

the source of excessive GH secretion is

a

DEFINITION 10

adenoma of the pituitary gland

what does the nurse monitor after a

hypophysectomy

  • neuro status- monitor fluid balance - can get diabetes insipid us-

deep breathing- instruct pt not to cough, sneeze, or blow nose-

use dental floss or oral mouth rinses, do not brush teeth ( for 2

wks)- do not bend from the waste- monitor nasal drip for csf-

monitor bowel movements and constipation - no straining- teach

pt self administration of prescribed treatment

TERM 17

what might indicate the leakage of CSF

DEFINITION 17

increased swallowing

TERM 18

what indicates CSF

DEFINITION 18

a light yellow color at the edge of the clear drainage on the

dressing it is called the halo signor pt has severe headaches

TERM 19

how are most CSF leaks resovleved

DEFINITION 19

with bed restif not the doctor may to a spinal tap

TERM 20

activities that increase ICP should be avoided

for up to ____ after surgery

DEFINITION 20

2 months

after hypophysectomy numbness in the area

of the surgery and decrease sense of smell

can occur for

3 to 4 months

TERM 22

after a hypophysectomy hormone

replacement may be needed to maintain fluid

balance what do they use

DEFINITION 22

vasoppression

TERM 23

diabetes insipidus is a

DEFINITION 23

water metabolism problem caused by an ADH deficiency

TERM 24

ADH deficiency results in

DEFINITION 24

the excretion of large volumes of dilute urine

TERM 25

nephrogenic diabetes insipidus is an

DEFINITION 25

inherited disorder - kidney tubules od not respond to the

actions of ADH, which result in poor kidney absorption

DI is considered when urine output is more

than

4 liters during this period and is greater than the volume

ingested

TERM 32

the amount of urine excreted in 24 hours for

DI may be

DEFINITION 32

4 to s0/L day

TERM 33

Urine is diluted with a low specific gravity of

_____ and low specific Osmolarity of _____

DEFINITION 33

less than 1.005; 50 - 200 m

TERM 34

nursing management for DI involves

DEFINITION 34

early detection of dehydration and maintaining adequate

hydration, measure intake and output, checking urine

specific gravity, recording pts weight daily

TERM 35

syndrome of inappropriate antidiuretic

hormone (SIADH)

DEFINITION 35

problem with vasopressin hormone is secreted even when

plasma osmolarity is low or normal

early manifestations of SIADH are related to

water retention, GI disturbances, loss of appetite, n/v,

TERM 37

what are the medical interventions for SIADH

DEFINITION 37

restricting fluids intake, promoting the excretion of water,

replacing any lost sodium and interfering with the action of

ADH

TERM 38

how low would fluid intake be with SIADH

DEFINITION 38

500 - 600 ml/24 hours

TERM 39

what drug is used to treat

SIADH

DEFINITION 39

samsca or vaprisol

TERM 40

acute adrenal insufficiency (addisons crisis)

DEFINITION 40

life threatening event in which the need for cortisol and

aldosterone is greater than the available supply

lab tests done are

blood, salivary and urine cortisol levels

TERM 47

the pt with hypercortisolism is at risk

for

DEFINITION 47

injury from skin breakdown, bone fractures, GI bleeding

TERM 48

a major focus in caring for the pt with

hypercortisolism is protection from

DEFINITION 48

infection

TERM 49

hyperthyroidism is

DEFINITION 49

an excessive thyroid hormone secretion from the thyroid

gland

TERM 50

s/s of hyperthyroidism

DEFINITION 50

Nervousness

Anxiety

Increased perspiration

Heat intolerance

Hyperactivity

Palpitations

hyperthyroidism has many causes most

common is

graves disease

TERM 52

graves disease s/s are

DEFINITION 52

goiter, exophthalmos, pretibial myxedema

TERM 53

exogenous hyperthyroidism is

DEFINITION 53

excessive use of thyroid replacement hormones

TERM 54

graves disease occurs at any age but most

common in

DEFINITION 54

women between 20 - 40

TERM 55

hallmark sign of hyperthyroidism is

DEFINITION 55

heat intolerance

thyroid storm is characterized

by

high fever and sever hypertension(immediately report a one

degree temp rise)

TERM 62

the preferred drugs for hyperthyroidism is

DEFINITION 62

PTU and tapazole

TERM 63

iodine preparations can be used

for

DEFINITION 63

short term therapy before surgery

TERM 64

radioactive iodine is not used

in

DEFINITION 64

pregnant women

TERM 65

what is the most common treatment for

hyperthyroidism

DEFINITION 65

antithyroid drugs and radioactive treatment

what is most likely to occur 24 hours after

surgery

hemorrhage - inspect the neck dressing and behind the neck

for blood