Podcast
Questions and Answers
Patients should avoid coughing, sneezing, and blowing their nose after the surgery.
Patients should avoid coughing, sneezing, and blowing their nose after the surgery.
True (A)
What should be done if clear liquid is draining from the nose?
What should be done if clear liquid is draining from the nose?
Check for the presence of glucose.
Frequent swallowing after the surgery may indicate which condition?
Frequent swallowing after the surgery may indicate which condition?
- CSF leakage
- Infection
- Bleeding (correct)
- Sinus pressure
Complications of a hypophysectomy include decreased activity of the pituitary, leading to ___.
Complications of a hypophysectomy include decreased activity of the pituitary, leading to ___.
What is the recommended position for a patient after hypophysectomy for 2 weeks?
What is the recommended position for a patient after hypophysectomy for 2 weeks?
Complications of a hypophysectomy include decreased activity of the pituitary, leading to ___.
Complications of a hypophysectomy include decreased activity of the pituitary, leading to ___.
What should be applied post-surgery to help with breathing?
What should be applied post-surgery to help with breathing?
Study Notes
Adenoma of Pituitary Gland - Hypophysectomy
- Hypophysectomy involves the surgical removal of the pituitary gland, crucial for treating adenomas.
- The surgery is performed via an intra-nasal route, specifically utilizing a transsphenoidal approach through the upper lip.
Plan of Care Post-Surgery
- Maintain a sitting upright position in high Fowler's for two weeks to reduce edema at the surgical site.
- Avoid actions that increase intracranial pressure, such as coughing, sneezing, or blowing the nose.
- Nasal packing is required post-operation; the patient should breathe through the mouth.
- Monitor for clear liquid drainage from the nose, which may indicate cerebrospinal fluid (CSF) leakage; check drainage for glucose presence.
- Frequent swallowing may signal bleeding post-surgery; close attention is needed.
- Potential complications include decreased pituitary gland activity leading to:
- Addison's disease (adrenal insufficiency)
- Hypothyroidism
- Diabetes Insipidus (DI)
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Description
This quiz covers the care plan following hypophysectomy, focusing on the necessary precautions and signs of complications. It includes important post-operative guidance such as patient positioning, nasal care, and monitoring for potential issues like cerebrospinal fluid leakage. Ensure you're prepared to manage these critical aspects of patient care effectively.
