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EXAM 2: NURS 611 Advanced Pathophysiology Questions & Answers 100% Solved $16.99   Add to cart

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EXAM 2: NURS 611 Advanced Pathophysiology Questions & Answers 100% Solved

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EXAM 2: NURS 611 Advanced Pathophysiology Questions & Answers 100% Solved SIADH (syndrome of inappropriate antidiuretic hormone) Causes S/S Treatment CORRECT ANS-*Over secretion of ADH, Kidneys retain water causing hypervolemia (dilute sodium- hyponatremia)

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  • September 1, 2024
  • 49
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 611
  • NUR 611
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EXAM 2: NURS 611 Advanced Pathophysiology
Questions & Answers 100% Solved

SIADH (syndrome of inappropriate antidiuretic hormone)


Causes


S/S


Treatment CORRECT ANS-*Over secretion of ADH, Kidneys retain water causing

hypervolemia (dilute sodium- hyponatremia)




CAUSES- cancers, lung cancer, duodenum, etc


Infection in lungs or CNS -> pneumonia, meningitis,


AVP gene mutation, any surgerys


medication- Chlopropamide (oral antidiabetic)




S/S- THIRSTY, DEC urine (very concentrated) , anoerxia, (not hungry/uncomfortable) fluid

overload, dyspnea fatigue vomiting,


hyponatremia, confusion, seizures




Treatment - Treat hyponatremia

, EXAM 2: NURS 611 Advanced Pathophysiology
Questions & Answers 100% Solved

Diabetes Insuipidus (DI)


Patho


Causes


S/S


Treatment CORRECT ANS-*DECREASED secretion of ADH,


diluted and excessive urine output, (concentrated -> Hypernatremia, INC plasma osmalality),




CAUSES- ** Nephrogenic - problems with the kidneys- Genetic (Vasopressin & Aquaphorin

genes),


diseases- amyloidosis & pylenephritis


Drug- lithium carbonate (can damage kidney tubules)


** Neurogenic - lesions or trauma to hypothalamus, posterior pituitary, TBI complications


Pregnancy- body produces vasopressinase which causes ADH to break down (decrease)




S/S- polydispisa (extreme thirst), Inc Urine output (Polyuria) diluted, hypotension,

, EXAM 2: NURS 611 Advanced Pathophysiology
Questions & Answers 100% Solved

Treatment- If tolerable, Drink alot of water to correct the problem




Antidiuretic Hormone


Where is it produced?


Where is it stored/secreted?


Normal function CORRECT ANS-Produced by the hypothalamus


secreted and stored by the posterior pituitary


regulates the amount of water in the body


(can also constrict blood vessels and also called vasopressin)




Hypopituitarism CORRECT ANS-(Disease of the anterior pituitary)


Cause- ischemia/infarction, edema, adenoma, aneyursm of the pituitary - pituitary enlarges

due to edema which causes more damage (pituitary is in an enclosed space) -> Tiusse

damage, decreased blood supply, fibrosis




Dec in all pituitary hormones- (Panhypopituitarism)


ACTH - Adrenocorticotropic

, EXAM 2: NURS 611 Advanced Pathophysiology
Questions & Answers 100% Solved

TSH- thyroid stimulating hormone


FSH & LH follicle stimulating & Lutenizing


GH- Growth hormone




Oxytocin Toxicity / Oxytocin Insufficiency CORRECT ANS-Disease of posterior pituitary


Hyper secretion- Toxicity


Hypo secretion- Insufficiency




ACTH Deficiency (Hypopituitarism)


Adrenocorticotropic deficiency CORRECT ANS-N/V, weakness, lack of energy


HYPOGLYCEMIA, hypocortisol, low urine


due to hypocortisol insulin sensitivity is increased due to less glycogen stores/ less glucogensis


Can be life threatening




Low aldosterone (RAAS can help)


Low urine output

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