What is Hypopituitarism, complications?
- Pituitary gland fails to produce one or more hormones/doesn’t produce enough
- Complications: Adrenal insufficiency, hypothyroidism, infertility, fatigue, weakness, weight loss/gain
What are the treatment and considerations for Hypopituitarism
treatment: hormone replacement therapy, levothyroxine, treat underlying cause
Considerations: monitor hormone levels, supportive care for symptoms
What is Diabetes Insupidus, complications?
- Pituitary hypofunction, decrease of ADH, excretion of H2O and not Na
- Complications: dehydration/hypernatremia
What are the treatments and considerations for Diabetes Insupidus
Treatment: DDAVP (Synthetic ADH)
Considerations: Monitor fluids, fluid restriction
What is SIADH, complications?
- Excessive action/secretion of ADH
- Complications: Oliguria, neurological problems, confusion, seziures, too much water retained in the kidneys
What are the treatments and considerations for SIADH
Treatments: Hypertonic saline infusion, furosemide
Considerations: Fluid restriction and monitor for signs of fluid overload
What is Primary hypothyroidism, complications?
- decreased release of thyroid hormone from the gland
- Myxedema coma, weight gain, decreased appetite, cold intolerance
What are the treatments and considerations for Primary hypothyroidism
Treatments: levothyroxine
Considerations: Supportive
What is Primary hyperthyroidism, complications:
- Increased release of thyroid hormone from the gland
- Complications: Thyroid storm, weight loss, increased appetite, heat intolerance
What are the treatments and considerations for Primary hyperthyroidism
Treatments: thyroid hormone blockers, sometimes surgical removal
Considerations: monitor for signs of thyroid storm
What is Addisons Disease, complications?
- Primary adrenal insufficiency
Complications: Adrenal crisis, weakness, hypotension, N/V, bronze skin
What is the treatments and considerations for Addisons disease
Treatments: Glucocorticoid
Considerations: Manage N/V, encourage PO intake, monitor for electrolyte imbalances
What is Cushing’s disease, complications?
Secondary hyperadrenalism
Complications: weight gain, moon face and buffalo hump
What is the treatment and considerations of Cushing’s disease
Treatment: surgical resection of the tumor
Considerations: none
What is Dwarfism, complications?
- Too little growth hormone during childhood
Complications: Short stature, low blood sugar
What are the treatments and considerations of Dwarfism
Treatment: Hormone replacement
Considerations: Support through corrective surgeries, monitor cardiac status
What is Acromegaly, complications?
- Excess growth hormone, onset in adult, after closure of epiphysis
- Complications: Bones grow too much (jaw, hands, feet)
What are the treatments and considerations of Acromegaly
Treatments: Medications that block the effects of growth hormone
Considerations: Monitor for heart failure
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