Pituitary Gland Surgery Care Plan
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Pituitary Gland Surgery Care Plan

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@TopQualityGreekArt5118

Questions and Answers

Patients should avoid coughing, sneezing, and blowing their nose after the surgery.

True

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?

  • CSF leakage
  • Infection
  • Bleeding (correct)
  • Sinus pressure
  • Complications of a hypophysectomy include decreased activity of the pituitary, leading to ___.

    <p>Addison's disease</p> Signup and view all the answers

    What is the recommended position for a patient after hypophysectomy for 2 weeks?

    <p>Sitting upright</p> Signup and view all the answers

    Complications of a hypophysectomy include decreased activity of the pituitary, leading to ___.

    <p>hypothyroidism</p> Signup and view all the answers

    What should be applied post-surgery to help with breathing?

    <p>Nasal packing.</p> Signup and view all the answers

    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.

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