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NURS 404 EXAM 4 STUDY GUIDE

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Institution Eastern Michigan University
Course NURS 404
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NURS 404 EXAM 4 STUDY GUIDE

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NURS 404 EXAM 4 STUDY GUIDE


Treatment of hypopituitarism - Answers - Lifelong replacement of deficient hormones
Androgen therapy
Estrogens and progesterone
Growth hormone

Posterior pituitary hormones - Answers - ADH
Oxytocin

Causes of hyperpituitarism - Answers - Benign tumor
Overproduction of GH (adults = acromegaly, kids=gigantism)

Acromegaly - Answers - Hypersecretion of growth hormone after puberty

S/sx of acromegaly - Answers - Enlargement of face, hands, and feet
Increased skeletal thickness
Hypertrophy of skin
Enlargement of organs

Glucose in nasal drainage indicates what? - Answers - CSF drainage

Pathophysiology of Diabetes Insipidus - Answers - Water metabolism issue d/t adh
deficiency or inability of kidneys to response to ADH
Excretion of a lot of dilute urine
Hypernatremia

Key assessments of diabetes Insipidus - Answers - Sx r/t dehydration
Increased urination
Excess thirst

Tx of diabetes insipidus - Answers - Oral chlorpropamide (Antidiuretic)
Desmopressin acetate (replaces ADH)
Lifelong vasopressin therapy
Early detection of dehydration & proper hydration

Pt education for diabetes insipidus - Answers - Weigh self daily

SIADH - Answers - Syndrome of inappropriate Antidiuretic hormone

Pathophysiology of SIADH - Answers - Water retention
Fluid overload
Dilutional hyponatremia

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