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Definition
Causes
Genetic Considerations
Gender, Ethnic/Racial, and Life Span Considerations
Risk Factors
Symptoms
Diagnotic Procedures
Primary Nursing Diagnosis
Medical Management
Surgery
Radiosurgery
Radiation Therapy
Medication Drugs may be given to reduce the level of GH secretion from the pituitary gland. These include:
Medications must often be combined with other therapies treat larger tumors affecting surrounding structures. Nursing ManagementPREOPERATIVE. At the time of diagnosis, the patient requires education and emotional support. Focus education on the cause of the disease, the prescribed medical regimen, and preparation for surgery. Encourage the patient to interact with family and significant others. Reassure the patient that treatment reverses some of the physical deformities. If you note disabling behavior, refer the patient to psychiatric resources. Prepare the patient and family for surgery. Explain the preoperative diagnostic tests and examinations. For a patient who is undergoing a transsphenoidal hypophysectomy or a transfrontal craniotomy, explain the postoperative need for nasal packing and a mustache dressing. POSTOPERATIVE. Elevate the patient’s head to facilitate breathing and fluid drainage. Do not encourage the patient to cough, as this interferes with the healing of the operative site. Provide frequent mouth care, and keep the skin dry. To promote maximum joint mobility, perform or assist with range-of-motion exercises. Encourage the patient to ambulate within 1 to 2 days of the surgery. To assure healing of the incision site, explain the need to avoid activities that increase intracranial pressure, such as toothbrushing, coughing, sneezing, nose blowing, and bending. Documentation Guidelines
Discharge and Home Healthcare Guidelines ReferralsRefer patients with advanced acromegaly who experience arthritic changes and require assist devices for ambulation and activities of daily living to a physical therapist. ACTIVITY RESTRICTIONS. Instruct the patient to avoid activities that increase intracranial pressure for up to 2 months after surgery. Toothbrushing can be resumed in 2 weeks. Instruct the patient to report increased nasal drainage. Incisional numbness and altered olfaction may occur for 4 months after surgery. MEDICATIONS. If octreotide is prescribed, the patient will need to be able to demonstrate how to administer a subcutaneous or intramuscular injection. FOLLOW-UP. Patients need to be monitored for development of cardiac disease, diabetes mellitus, and gallstones and a recurrence of symptoms. Advise the patient to wear a medical identification bracelet. image courtesy of : http://medicine-science.com ExamChoose the letter of the correct answer. Good luck! Congratulations - you have completed MSN Exam for Acromegaly (PM)*. You scored %%SCORE%%
out of %%TOTAL%%. Your performance has been rated as %%RATING%% Your answers are highlighted below. Shaded items are complete.
Nursing Care PlanNursing Diagnosis for Acromegaly
Nursing Diagnosis: Disturbed Body Image related to the disease at the stage of development.Goal:Within 2-3 weeks the client will have returned positive body image. Nursing Interventions
How do you determine if a blood pressure cuff is the right size for a patient quizlet?How to select the correct size blood pressure cuff? Width of the inflatable bladder of the cuff should be about 40% of upper arm circumference (about 12 to 14 cm in the average adult). Length of the inflatable bladder should be about 80% of upper arm circumference (almost long enough to encircle the arm).
Why is it important to match the correct size of a blood pressure cuff to a person's arm and shape and not to the patient's age?Using the wrong size cuff can lead to incorrect blood pressure readings and misdiagnosis, according to new research. People with obesity – who need large or extra-large blood pressure cuffs – were at particularly high risk for inaccurate readings if using the wrong cuff size.
Which technique is correct when the nurse is assessing the radial pulse of a patient?Which technique is correct when the nurse is assessing the radial pulse of a patient? a. Palpate for 1 minute, if the rhythm is irregular.
Which action is a component of the general survey?Which action is a component of the general survey? (The general survey is a study of the whole person that includes observing the patient's physical appearance, body structure, mobility, and behavior. Interpreting subjective data is not part of the general survey.
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