PRECIPITATING FACTORS:

PREDISPOSING FACTORS:
• Pregnancy (Hypovolemia, severe
• Gender (Female)
bleeding, hemorrhage e.g retained
• Age ( Child-bearing age) placental fragment, abortion)
• Economic Status (Hilot)

Hypertrophy & Hyperplasia of Lactotrophs

↑ size of the pituitary gland with no ↑ in blood supply ↑ oxygen demand

Significant drop in blood volume

↓ in blood supply

Vasospasm of anterior pituitary gland

Hypopigmentation of Deprivation of O2 from the anterior pituitary gland

↓ or lack of MSH ↓ or lack of Prolactin Unable to
skin
lactate
Cell damage/
Tissue necrosis Growth Retardation
↓ or lack of GH Reduced muscle mass
& strength
Increased body fat
Gonadal failure & loss of Hypofunction of the anterior Pituitary Reduced bone mass &
↓ or lack of LH and FSH
secondary characteristics gland
Thyroid
↓ stimulation
↓ or lack of TSH Deficiency
of thyroid gland
Loss of pubic & axillary hair Amenorrhea ↓ or lack of ACTH
Loss of libido Atrophy of
vagina, uterus & ↓ metabolic rate
breasts Thinning of hair
↓ stimulation of adrenal cortex Hypothermia
Dryness of skin
Weight gain
↑ effects of Lethargy
Cold Intolerance
stress Slow speech
↓in blood Cortisol deficiency Edema
glucose Husky voice
↑ WBC - 24.0 g/L Numbness &
(Normal range for ↑ heart rate
tingling of the fingers
↓ Peristalsis
Female: 4.4 – 11.0 g/L) Elicit inflammatory
↓ Urination
response ↑ Respiratory rate
ADRENAL CRISIS
Hereditary
↑ Blood Pressure condition
 ADRENAL CRISIS

Sigs of
circulatory shock Electrolyte imbalance

↓ Serum ↓ Serum Sodium:

Potassium: 2.32 130.80 mmol/L
mmol/L (Normal value: 135
(Normal value: 3.5 – 145 mmol/L)
– 5.3mmol/L)

Pallor Apprehension
Rapid weak pulse Hypotension
Confusion & Restlessness Extreme weakness
Rapid respiratory rate Abdominal pain Nausea
Vomiting Altered mental status
Diarrhea Cyanosis Poor skin turgor
↓ bowel motility

RED – Signs & symptoms manifested by the Client

BLUE - Signs & symptoms NOT manifested by the Client
- Complication