Exam (elaborations)
AG-ACNP – Endocrine Questions and Answers
- Course
- Institution
AG-ACNP – Endocrine Questions and Answers
[Show more]
Content preview
AG-ACNP – Endocrine Questions andAnswers
What lab is ordered to rule out Addison's Disease? Correct Ans-Cosytropin
What is the outpatient management for Addison's Disease? Correct Ans-Glucocorticoid
replacement
- Hydrocortisone
Mineralcorticoid replacement
- Fludrocortisone acetate (Florinef)
Explain the pathology of SIADH. Correct Ans-Release of ADH occurs independent of
osmolality or volume dependent stimulation.
INAPPROPRIATE WATER RETENTION
What are the hallmark signs and symptoms of SIADH? Correct Ans-Neurological changes -
hyponatremia - seizures, coma
Weight gain
Edema
Decreased UOP
What is the diagnostic profile in determining SIADH? Correct Ans-Hyponatremia -
euvolemic
,Decreased serum osmolality <280
Increased urine osmolality >100
Urine sodium > 20
Patient has been diagnosed with SIADH. What is the management if serum Na > 120 mEq/L?
Correct Ans-Restrict total fluids to 1000 mL/24 hrs
What is the management of a patient diagnosed with SIADH and demonstrating neurological
symptoms with serum Na < 110 mEq/L? Correct Ans-Hypertonic Saline 3% NS IVF slow
administration and furosemide (Lasix) at 1-2 mEq/hr.
When would you restrict fluids to 500 mL/24 hr in a patient diagnosed with SIADH? Correct
Ans-Serum Na <110-120 mEq/L and no neurological symptoms
Define central Diabetes Inspidius and identify the causes. Correct Ans-Central DI - Damage
of pituitary or hypothalamus that causes ADH deficiency.
Surgical damage
Trauma
Infection
Nephrogenic Diabetes Insipidus is caused by: Correct Ans-Defect in the renal tubules
resulting in renal insensitivity to ADH
, What are the hallmark signs and symptoms of Diabetes Insipidus? Correct Ans-
Thirst/cravings for water - intake 5-20 L/day
Polyuria - 6-20 L/day
Tachycardia
Hypotension
Altered mental status
What are the significant labs associated with Diabetes Insipidus? Correct Ans-Hypernatremia
Increased serum osmolality > 290
Decreased urine osmolality <100
Decreased urine specific gravity <1.005
Increased BUN/Cr
Explain the management of a patient with DI and serum Na of > 150 mEq/L. Correct Ans-
Give D5W IV to replace 1/2 FVD in 12-24 hours
Identify the major complication associated with rapid lowering of serum sodium? Correct
Ans-Cerebral edema.
What is used for acute management of DI? Correct Ans-DDAVP 1-4 ug IV or SQ q 12-24 hrs
What is the maintenance dose of DDAVP and indication? Correct Ans-DI maintenance dose -
DDAVP 10 ug q 12-24 hrs INTRANASALLY
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamRoom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now