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  • Simmond's Disease MS

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    Rocel Devilles
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    1) Panhypopituitarism is a condition caused by destruction of the pituitary gland, which can result in lack of important hormones. 2) Symptoms vary depending on which hormones are deficient, but can include sexual dysfunction, metabolic issues, and adrenal insufficiency. 3) Treatment involves hormone replacement therapy and addressing the underlying cause of pituitary damage if possible. Managing deficiencies and their effects on the body is important.

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    Simmond’s Disease MS

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    1) Panhypopituitarism is a condition caused by destruction of the pituitary gland, which can result in lack of important hormones. 2) Symptoms vary depending on which hormones are deficient, but can include sexual dysfunction, metabolic issues, and adrenal insufficiency. 3) Treatment involves hormone replacement therapy and addressing the underlying cause of pituitary damage if possible. Managing deficiencies and their effects on the body is important.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    397 views22 pages

    Simmond's Disease MS

    Uploaded by

    Rocel Devilles
    1) Panhypopituitarism is a condition caused by destruction of the pituitary gland, which can result in lack of important hormones. 2) Symptoms vary depending on which hormones are deficient, but can include sexual dysfunction, metabolic issues, and adrenal insufficiency. 3) Treatment involves hormone replacement therapy and addressing the underlying cause of pituitary damage if possible. Managing deficiencies and their effects on the body is important.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 22

    Devilles, Rocel V. Felipe, Jam Marie S.

    Also known as the Anterior Pituitary Hypofunction

    It refers to a term panhypopituitarism

    Destruction of a pituitary gland; avascular necrosis of the anterior pituitary Tumors or Trauma

    Chemotherapy, Radiotherapy, Pituitary resection


    Autoimmune hypophysitis Severe hemorrhage; hypovolemic shock

    Lack

    of gonadotropin (LH & FSH)

    Before puberty : signs of delayed puberty Female Amenorrhea, Anovulation, Breast atrophy Male Small & soft testes; Lack of beard After puberty : secondary gonadal dysfunction : Decreased axillary & pubic hair, Decreased libido, Infertility, Fine facial wrinkles Female Menopause Male Testicular atrophy, Oligospermia, Azoospermia

    Lack

    of growth hormone (GH) Bone retardation of prolactin (PRL) Breast atrophy

    Lack

    Lack

    of thyroxin stimulating hormone (TSH) Thyroid gland hypofunction


    T3 & T4 - Weight gain, Intolerance to cold; Scalp alopecia; Slowed cognition Thyrocalcitonin Hypocalcemia - Orthosthatic hypotension, Anorexia, Nausea & Vomiting

    Lack

    of Adrenocorticotropic hormone ( ACTH)

    Glucocorticoids Hypoglycemia, Lethargic, Generalized body malaise, headache Mineralocorticoids Hyponatremia - orthostatic Hypotension, Anorexia, Nausea & Vomiting Sex hormones (Androgens) Decreased axillary and pubic hair

    Pituitary

    crisis - Coma

    Hx taking Hemianopsia / Headache

    Varying signs of hormonal disturbances:


    Menstrual dysfunction Hypometabolism Adrenal insufficiency Growth retardation

    Blood tests
    Basal test: T3 & T4, testosterone & estradiol, LH/ FHS, TSH Stimulation test: GH, ACTH, TSH, LH / FSH, PRL

    Skull Xrays
    CT scan/ MRI Cerebral angiography

    Disturbed body image r/t illness Sexual dysfunction r/t illness

    Goals: removing the underlying cause treating the hormone deficiencies addressing any other repercussions that arise from the hormone deficiencies

    Hormone replacement therapy


    Hydrocortisone (cortisol) for adrenal insufficiency Levothyroxine for hypothyroidism Testosterone for male hypogonadism Estradiol for female hypogonadism Growth hormone is available in synthetic form

    Cortrophin & Ambinon

    Prolactinomas: Dopamine agonist treatment Tumors: Super voltage or proton beam irradiation Diet: high calorie, high CHON If untreated = fatal

    Monitor vital signs Monitor I & O Monitor weight daily Assess mental status, emotional state, energy level, and appetite Administer hormone replacements as prescribed Advise patient for a long-term follow up by specialists in Endocrinology

    Explain to the patient: The need to take medication for the rest of the patients life The need for frequent laboratory tests Provide emotional support If the patient experiences fatigue: Instruct in methods to conserve energy

    Observe emotional changes Assist in correcting underlying problems Assume all individuals are sensitive to changes in appearance but avoid stereotyping Set limits on maladaptive behavior and assist client to identify positive behaviors

    Establish therapeutic nurse-client relationship Assist with treatment of underlying problems Provide factual information about individual conditions involved Provide information about availability of corrective measures such as medications Encourage client to engage in regular selfexamination, as indicated

    Surgical removal of tumors


    Transsphenoidal surgery Craniotomy

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