Ssc Ams Test 4 - Posterior Pituitary Problems

Front 1

Drug that can be given to treat SIADH:

Back 1

Declomycin

Front 2

What condition should we monitor an SIADH patient on Declomycin for?

Back 2

Candida

Front 3

If we are giving an SIADH patient 3% NaCl for dilutional hyponatremia, what do we need to watch the patient for?

Back 3

Worsening fluid overload, pulmonary edema (crackles, HTN)

Front 4

Given to correct dilutional hyponatremia in patients with SIADH; given slowly and carefully on a pump:

Back 4

3% NaCl

Front 5

Main drug given to patients with SIADH to help them excrete excess fluid:

Back 5

Diuretics

Front 6

What type of water should tube feedings be diluted with for a patient with SIADH?

Back 6

Saline

Front 7

What would be an appropriate oral fluid intake amount for a patient with severe SIADH?

Back 7

500-600 mL / day

Front 8

What is an important intervention for someone with SIADH in order to correct dilutional electrolyte imbalances?

Back 8

Restrict fluids

Front 9

What important changes should the nurse monitor for in a patient with SIADH and a severely low sodium level?

Back 9

CNS changes

Front 10

Anorexia, N/V, lethargy, headache, hostility, disorientation, and change in LOC are seen in diabetes insipidus or SIADH?

Back 10

SIADH

Front 11

Would weight gain or weight loss be seen in a patient with SIADH?

Back 11

Weight gain

Front 12

In a case of SIADH, what is retained, causing dilutional hyponatremia?

Back 12

Water

Front 13

An increase in the amount of ADH that is secreted; caused most commonly by chemo, trauma, stroke, TB, SLE, or pneumothorax; could also be caused by chemo drugs, opioids, anesthesias, and tricyclic antidepressants:

Back 13

SIADH

Front 14

These two signals warrant the need for a dose of vasopressin in the patient with lifelong diabetes insipidus:

Back 14

Polyuria, polydipsia

Front 15

What does permanent diabetes insipidus require lifelong?

Back 15

Vasopressin or DDAVP therapy

Front 16

A synthetic form of vasopressin given orally or intranasally in a metered spray:

Back 16

DDAVP

Front 17

Drug given to increase the action of existing ADH and stimulates the production of ADH in the hypothalamus:

Back 17

Diabinese

Front 18

What lab findings are common in someone with severe diabetes insipidus due to hemoconcentration?

Back 18

Low urine specific gravity, high H & H, increased BUN and creatinine

Front 19

What is the definitive factor in determining if diabetes insipidus is present?

Back 19

Urine output of 4 or more liters greater than intake

Front 20

What are the clinical manifestations of diabetes insipidus?

Back 20

Increased urination, excessive thirst

Front 21

Type of diabetes insipidus that is induced by lithium or demeclocycline; interferes with the kidneys' response to ADH:

Back 21

Drug-induced

Front 22

Type of diabetes insipidus in which there is a defect in the hypothalamus or pituitary gland resulting in lack of ADH production or release:

Back 22

Primary

Front 23

An inherited form of diabetes insipidus in which the kidney tubules do not respond:

Back 23

Nephrogenic

Front 24

This is a decrease in ADH (vasopressin) that results in the excretion of large volumes of dilute urine:

Back 24

Diabetes insipidus

Front 25

A deficiency in this results in the excretion of large volumes of dilute urine:

Back 25

ADH

Front 26

Where are oxytocin and vasopressin produced before being sent to the posterior pituitary gland?

Back 26

Hypothalamus

Front 27

Hormone that controls fluid balance:

Back 27

ADH

Front 28

Hormone that stimulates uterine contractions:

Back 28

Oxytocin

Front 29

What two hormones does the posterior pituitary gland secrete?

Back 29

ADH & oxytocin