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    Case Study

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    Abdul Hamid Noor
    Frank Smith is a 42-year-old patient who was diagnosed with a benign pituitary tumor resulting in decreased libido, impotence and increased milk production in men. He also experiences headaches, drowsiness, visual field changes and swelling of the optic disk. Postoperatively, the nurse should monitor the patient's vital signs, neurological status, signs of increased intracranial pressure and wound drainage. The family will know the problems are resolved when prolactin levels return to normal.

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    Case Study

    Uploaded by

    Abdul Hamid Noor
    16 views1 page
    Frank Smith is a 42-year-old patient who was diagnosed with a benign pituitary tumor resulting in decreased libido, impotence and increased milk production in men. He also experiences headaches, drowsiness, visual field changes and swelling of the optic disk. Postoperatively, the nurse should monitor the patient's vital signs, neurological status, signs of increased intracranial pressure and wound drainage. The family will know the problems are resolved when prolactin levels return to normal.

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    Frank Smith is a 42-year-old patient who was diagnosed with a benign pituitary tumor resulting in decreased libido, impotence and increased milk production in men. He also experiences headaches, drowsiness, visual field changes and swelling of the optic disk. Postoperatively, the nurse should monitor the patient's vital signs, neurological status, signs of increased intracranial pressure and wound drainage. The family will know the problems are resolved when prolactin levels return to normal.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views1 page

    Case Study

    Uploaded by

    Abdul Hamid Noor
    Frank Smith is a 42-year-old patient who was diagnosed with a benign pituitary tumor resulting in decreased libido, impotence and increased milk production in men. He also experiences headaches, drowsiness, visual field changes and swelling of the optic disk. Postoperatively, the nurse should monitor the patient's vital signs, neurological status, signs of increased intracranial pressure and wound drainage. The family will know the problems are resolved when prolactin levels return to normal.

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    © All Rights Reserved
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    Frank Smith is a 42-year-old patient diagnosed with pituitary prolactinoma, a benign

    tumor that arises from the pituitary gland, resulting in a decrease in libido and
    impotence and increased milk production of the breast. The patient also has
    complaints of headache and drowsiness and the presence of visual field changes and
    papilledema preoperatively.

    1. What postoperative care should the nurse provide the patient?

     Maintain airway (monitor oxygen levels, administer oxygen as needed)


     Relieve pain
     Administer meds
     Monitor vital signs and neurological status every 30 to 60 minutes
     Monitor for increased intracranial pressure (ICP)
     Look for s/s of cerebral edema
     Monitor for decreased level of consciousness, motor weakness or paralysis,
    aphasia, visual changes, and personality changes
     Provide a quiet environment .
     Monitor the head dressing frequently for signs of drainage
     Mark any area of drainage at least once each nursing shift for baseline
    comparison, record the amount and color
     Monitor electrolyte levels
     Monitor for dysrhythmias, which may occur as a result of fluid or electrolyte
    imbalance

    2. The patient’s family asks the nurse how will they know that the problems the
    patient had before surgery have stopped; what is the nurse’s best response?

     Sing and symptoms will stop.


     Prolactin levels will be within normal range.

    3. What management strategies should the nurse anticipate will be ordered to care for
    diabetes insipidusif it occurs?

    4. What discharge instructions should the nurse provide the patient and family?

     Increase your activity slowly.


     Talk with your healthcare provider about which activities you can start with.
     Don’t drive until your healthcare provider says it’s ok.
     Don’t lift anything until your healthcare provider says it’s ok. Your provider may
    tell you not to lift more than 10 pounds for a period of time.
     Take your medicine exactly as directed.
     Don't drink alcohol or use recreational drugs.
     Get plenty of rest and sleep.
     Don't take aspirin, ibuprofen, or similar medicines unless your healthcare
    provider says it's ok.
     Make a follow-up appointment.

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