Diabetes Insipidus Review Excessive water loss due to hyposecretions of ADH
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| show | radiation for cancerous brain tumor
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| show | polydipsia and polyuria
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| show | weight gain and concentrated urine
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| show | fluid volume excess and LOC alteration in
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| show | cerebral edema and excretion of sodium
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| a pt with SIADH suddenly is vomitting is disoriented and complains of a severe headache what is the nurse priority intervention? | show 🗑
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| the pt who has SIADH has a foley draining clear urine. The nurse would expect the urine | show 🗑
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| show | to prevent fluid overload
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| the nurse knows that the adrenal gland is hyperfunctioning in cushing disease to cause | show 🗑
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| the nurse knows the report abdominal pain in the patient with cushing disease bc | show 🗑
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| show | fat on the face, trunk and back. thin arms and thin legs.
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| to mx the patient with addisons diese th enurse | show 🗑
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| show | hypoglycemia, hypoatremia and hyperkalemia
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| show | administration of insulin to treat acute hypokalemia
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| the pt with pheochromocytoma secretes catecholamines. these catecholamines cause two processes in the body | show 🗑
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| show | give the pt more blankets
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| show | HTN
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| which intervention below does the nurse teach the pt to prevent DKA | show 🗑
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| which of the following s/s is least likely to occur in HHNS? | show 🗑
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| show | fluid volume deficit
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| show | measure blood glucose level for hyperglycemia and check urine for ketones
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| show | detect and treat infection early,maintain hydration and use stress management techniques.
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| the pt with diabetes mellitus requests a medication for a headache soon after returning fr. an early morning xray procedure. the nurse observes the pt is upset about the headache, angry at missing breakfast and has moist hands. | show 🗑
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| type I DM | show 🗑
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| show | resistance to endogenous insulin
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| Secondary causes of DM | show 🗑
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| Diabetes Diagnostic Criteria | show 🗑
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| show | <50 mg/dl, cool clammy skin, diaphoresis, anxiety, irritability, confusion, blurred vision, hunger, general weakness
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| hyperglycemia | show 🗑
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| show | count carbs 1 unit insulin/15 g carb, plan intake according to inactivity/ activity
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| show | cause: too much insuin, inadequate intake, exercise without replacement
SX: low blood gluclose, diaphoresis, tremors, hunger, weakness, pallor, dizziness, somnolence, coma, seizures, death
TX: replacement of glucose
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| show | cause: insufficient insulin, infection or other disease. SX: BS>250; bloodpH<7.2; bicarbonate <15 mEq/L; glucosuria, elevated serum K+, decrease serum NA phosphate, calcium and mg; Kussmaul respirations; acetone breath dehydrations, wt loss, tachycardia
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| show | onset rapid, life threatening, hyperglycemia>300 mg/dl, breakdown of body fat-> ketones in blood and urine, more common in type 1 diabetes
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| show | onset over several days, life threatening, hyperglycemia >600 mg/dl, no ketones in blood and urine, more common in older adults with untreated or undiagnosed type 2 diabetes mellitus
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| show | lack of sufficient insuline (new onset, noncompliance), an increased need for insulin (stress, illness, infection, surgery, trauma), serum NA up, Serum K decrease, creatinine and Bun increase, serum osmolarity high dka/very high HHNS
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| how are DKA and HHNS not alike? | show 🗑
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| show | excessive thirst (Polydipsia) 4-30 L/day, nocoturia, fatigue, dehyration, exessive urine output (polyuria) five to 20 L/day
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| what r are the causes of DI? | show 🗑
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| show | decrease urine specific gravity (less than 1.005), decrease urine pH
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| show | increase serum sodium, increase serum potassium
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| symptoms DI and DB have in commons | show 🗑
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| desmopressin acetate (DDAVP) | show 🗑
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