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Managing the Patient With Transsphenoidal Pituitary Tumor Resection

Questions or comments about this article may be directed to Wen Yuan, RN ACNP-C MSN, at . She is an Acute Care Nurse Practitioner at Kaiser Permanente Foundation Hospitals, Los Angeles Medical Center, Los Angeles, CA.
The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses 04/2013; 45(2):101-7. DOI: 10.1097/JNN.0b013e3182828e28
Source: PubMed

ABSTRACT Patients who undergo transsphenoidal pituitary tumor resection require a multidisciplinary team approach, consisting of a neurosurgeon, an endocrinologist, and nurses. Successful transsphenoidal surgery needs expert nursing care for early identification and prompt treatment of pituitary dysfunction and neurosurgical complications. Pituitary dysfunction includes adrenal insufficiency, diabetes insipidus, syndrome of inappropriate antidiuretic hormone, and cerebral salt wasting syndrome. Neurosurgical complications may include visual disturbance, cerebrospinal fluid leak, subdural hematoma, and epistaxis.

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