What blood pressure should a diabetic patient with primary diabetes insipidus have?
Vasopressin is administered to the client with diabetes insipidus (DI) because it: * Decreases glucose production within the liver. Increases tubular reabsorption of water. Increases release of insulin from the pancreas. Decreases blood sugar.
What are the treatment options for diabetes insipidus?
18. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? RATIONALE Diabetes insipidus is characterized by polyuria (up to 8 L/day), constant thirst, and an unusually high oral intake of fluids. Treatment with the appropriate drug should decrease both oral fluid intake and urine output. A urine output of 200 ml/hour indicates …
Which hormone is lacking in clients diagnosed with diabetes insipidus?
Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? A. Fluid intake is less than 2,500 ml/day. B. Urine output measures more than 200 ml/hour. C. Blood pressure is 90/50 mm Hg.
Does diabetes insipidus cause weight gain or fluid retention?
Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? asked Sep 1, 2021 in Nursing by Quantum. a. Fluid intake is less than 2,500 ml/day. ... Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should include information about which hormone ...
When caring for a male client with diabetes insipidus What does the nurse expect to administer?
When caring for a male client with diabetes insipidus, nurse Juliet expects to administer: A. vasopressin (Pitressin Synthetic).Mar 19, 2022
When caring for a client with diabetes insipidus the nurse would expect to administer which drug?
Desmopressin and other drugs In patients with central DI, desmopressin is the drug of choice. A synthetic analogue of antidiuretic hormone (ADH), desmopressin is available in subcutaneous, IV, intranasal, and oral preparations. Generally, it can be administered 2-3 times per day.Jan 20, 2022
Which clinical manifestation is associated with diabetes insipidus in a client?
Signs and symptoms of diabetes insipidus include: Being extremely thirsty. Producing large amounts of pale urine. Frequently needing to get up to urinate during the night.Apr 10, 2021
What fluid replacement is administered for a client with hyperosmolar hyperglycemic nonketotic syndrome?
When the serum glucose level reaches 300 mg per dL (16.7 mmol per L), the fluid should be switched to 5% dextrose solution with 0.45% saline.Dec 1, 2017
What is the management of diabetes insipidus?
Central diabetes insipidus. Typically, this form is treated with a synthetic hormone called desmopressin (DDAVP, Nocdurna). This medication replaces the missing anti-diuretic hormone (ADH) and decreases urination. You can take desmopressin in a tablet, as a nasal spray or by injection.Apr 10, 2021
What are the complications of diabetes insipidus?
Without medical treatment, the possible complications of diabetes insipidus include:Chronic dehydration.Low body temperature.Accelerated heart rate.Weight loss.Fatigue.Frequent headaches.Low blood pressure (hypotension)Kidney damage.More items...
Which clinical manifestation is observed in a client with adrenal insufficiency?
The clinical manifestations of adrenal insufficiency include anorexia, abdominal pain, weakness, weight loss, fatigue, hypotension, salt craving and hyperpigmentation of the skin in case of primary adrenal insufficiency.Oct 14, 2017
Which clinical manifestation occurs in a client with adrenal insufficiency?
The most common symptoms are fatigue, muscle weakness, loss of appetite, weight loss, and abdominal pain. Adrenal insufficiency can be caused by autoimmune disease or suddenly stopping steroid medicines used to treat other conditions, among other causes.
Which manifestation would the nurse expect to find in a patient who has hypothyroidism?
People with hypothyroidism experience a slowing of metabolic processes, which can result in fatigue, slow speech, constipation, cold intolerance, weight gain, bradycardia, and decreased deep tendon reflexes. One study showed the most common symptoms are tiredness, dry skin, and shortness of breath.Mar 6, 2018
When managing diabetic ketoacidosis which intervention is appropriate?
In addition to fluids and electrolytes, you'll receive insulin therapy — usually through a vein. When your blood sugar level falls to about 200 mg/dL (11.1 mmol/L) and your blood is no longer acidic, you may be able to stop intravenous insulin therapy and resume your normal subcutaneous insulin therapy.Nov 11, 2020
Which intervention is indicated to treat a patient with DKA?
Treatment of DKA with intravenous insulin Insulin administration is essential in DKA treatment because it promotes glucose utilization by peripheral tissues, diminishes glycogenolysis and gluconeogenesis, and suppresses ketogenesis. Intravenous infusion is a preferred route of insulin delivery in patients with DKA.Jun 30, 2014
Which IV fluid is best for diabetic patients?
For decades, 0.9% saline has been the fluid of choice for diabetic ketoacidosis, and its use continues to be advocated in modern textbooks on diabetes. Early studies on diabetic ketoacidosis in the 1970s used 0.9% saline,5 and this approach was reinforced a decade later.
What is insulin dextrose used for?
Insulin and dextrose are used to treat diabetes mellitus and its complications, not diabetes insipidus. Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find: a.
What is the sign of hypocalcemia?
The client with hypocalcemia will exhibit a positive Chvostek's sign (facial muscle contraction when the facial nerve in front of the ear is tapped) and a positive Trousseau's sign (carpal spasm when a blood pressure cuff is inflated for a few minutes).
What causes puffiness on the face?
Puffiness of the face and hands . Hypothyroidism (myxedema) causes facial puffiness, extremity edema, and weight gain. Signs and symptoms of hyperthyroidism (Graves' disease) include an increased appetite, weight loss, nervousness, tremors, and thyroid gland enlargement (goiter).
What happens to the body when you have hyperthyroidism?
In the client with hyperthyroidism, excessive thyroid hormone production leads to hypermetabolism and increased nutrient metabolism. These conditions may result in a negative nitrogen balance, increased protein synthesis and breakdown, decreased glucose tolerance, and fat mobilization and depletion. This puts the client at risk for marked nutrient ...
Can you take propylthiouracil for pain?
Propylthiouracil is not used for pain and does not cause hyperglycemia or renal toxicity. A physician prescribes levothyroxine sodium (Synthroid), 0.15 mg orally daily, for a client with hypothyroidism. The nurse will prepare to administer this medication: a) in the morning to prevent insomnia.
Is furosemide contraindicated for diabetes insipidus?
Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production, the nurse should expect to administer synthetic vasopressin for hormone replacement therapy. Furosemide, a diuretic, is contraindicated because a client with diabetes insipidus experiences polyuria.
What should a nurse do to help with hypoglycemic episodes?
Consuming a low-carbohydrate, high-protein diet and avoiding fasting; To control hypoglycemic episodes, the nurse should instruct the client to consume a low-carbohydrate, high-protein diet, avoid fasting, and avoid simple sugars.
What should a nurse do to reduce water retention in a client with the SIADH?
Restricting fluids; To reduce water retention in a client with the SIADH, the nurse should restrict fluids. Administering fluids by any route would further increase the client's already heightened fluid load. Nurse Troy is aware that the most appropriate for a client with Addison's disease? 1.
Why does adipose tissue accumulate in the trunk?
Deposits of adipose tissue in the trunk and dorsocervical area; Because of changes in fat distribution, adipose tissue accumulates in the trunk, face (moonface), and dorsocervical areas (buffalo hump). Hypertension is caused by fluid retention. Skin becomes thin and bruises easily because of a loss of collagen.
What are the risks of Addison's disease?
4. Hypothermia. Risk for infection; Addison's disease decreases the production of all adrenal hormones , compromising the body's normal stress response and increasing the risk of infection. Other appropriate nursing diagnoses for a client with Addison's disease include Deficient fluid volume and Hyperthermia.
How much sugar should I eat to reverse hypoglycemia?
10 to 15 g of a simple carbohydrate; To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice.
Why does skin get thin?
Skin becomes thin and bruises easily because of a loss of collagen. Muscle wasting causes muscle atrophy and thin extremities. In a 29-year-old female client who is being successfully treated for Cushing's syndrome, nurse Lyzette would expect a decline in: 1.
How often is capillary glucose monitored?
Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Vince should expect the dose's:#N#1. Onset to be at 2 p.m. and its peak to be at 3 p.m.#N#2. Onset to be at 2:15 p.m. and its peak to be at 3 p.m.#N#3. Onset to be at 2:30 p.m. and its peak to be at 4 p.m.#N#4. Onset to be at 4 p.m. and its peak to be at 6 p.m.