Diabetes insipidus/Diabetes mellitus- NCLEX

Diabetes insipidus/Diabetes mellitus- NCLEX prep molly_gonzales32 Save ATI Rectum and Genitourinary 3.0 Te...17 terms Nurse_JayJefe Preview End of Life Practice NCLEX Questio...18 terms KerryMcGillicuddy1 Preview Complications During the Postpartu...28 terms m6wmSWz93h92G Preview Diabet Teacher the Learn1 / 7Study using Learn Decreased serum sodium, decreased serum osmolarity, decreased temperature Choose an answer What findings would the nurse expect in a patient with SIADH?diabetes insipidus (DI) diabetes treatment for SIADH Don't know?

diabetes insipidus (DI) polyuria, polydipsia , leading to dehydration, resulting from LOW ADH daibetes insipidus is like diabetes mellitus only in the fluid output

BUT NOT WITH THE GLUOSE

daibetes mellitus ss/ polyuria and polydipsia SIADH (increased ADH) s/s: Change in LOC, decreased deep tendon reflexes, tachycardia, N/V/A, HA, weight gain

tx: Administer Declomycin & diuretics

treatment for SIADH demeclocycline (ADH antagonist) which patient would have fluid volume excess?

SIADH diabetes insipidus (DI) antidiuretic hormone (ADH) is not secreted, or there is a resistance of the kidney to ADH Diabetes mellitus type 1 insulin dependent Juvenille onset ketosis prone

Diabetes mellitus type 2 adult onset non insulin dependent non-ketotic SIADH Oliguria & not thirsty bc they are retaining water

• Gains weight suddenly

Less Urine out = Higher specific gravity

• 30 ml out in 3 hours, but normal blood glucose

SIADH interventions Interventions

• Fluid restriction
• Diuretics
• Vasopressin Antagonist

Vasopressin (ADH) a hormone secreted by the pituitary gland diabetes error in glucose metabolism SIADH Urine Specific Gravity high Normal SIADH Normal Specific gravity 1.010 1.030- SIADH 1.030 If talking about diet changes in diabetes we are usually talking about?type 2

In diabetic diets what is most important?calories Diabetic should eat

• small meals per day

Insulin acts to:

lower blood sugar insulin acts to do what in blood glucose?lower blood glucose

• types of insulin
• rapid acting
• short acting
• intermediate acting
• long acting

Regular insulin (Humulin R, Novolin R) *short/rapid (intermediate) acting insulin Onset- 1 hour Peak -2 hour Duration -4 hour CLEAR Regular INSULIN what does the R stand for?Regular Rapid Run-in the bag IV Which insulin can be given IV?Regular only