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PCCN Review Exam Actual (Latest 2026 / 2027 Update) Questions & Accurate Correct Answers (100% Correct Verified Answers) Already Graded A+

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PCCN Review Exam Actual (Latest 2026 / 2027 Update) Questions & Accurate Correct Answers (100% Correct Verified Answers) Already Graded A+

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PCCN Review Exam Actual (Latest
Update) Questions & Accurate Correct Answers
(100% Correct Verified Answers) Already Graded
A+




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Terms in this set (40)



Diabetes Insipidus (Sip) antidiuretic hormone is not secreted adequately, or
the kidney is resistant to its effect


Diabetes insipidus labs 1. hypernatremia
2. elevated BUN/Cr
3. increased serum osmo >295
4. decreased urine osmo < 200
5. decreased urine specific gravity < 1.005
6. Decreased ADH
7. Polydipsia


diabetes insipidus treatment Desmopressin (vasopressin);
hydrochlorothiazide, hypotonic sol.

, syndrome of inappropriate excessive secretion of antidiuretic hormone
(increased) ADH (SIADH) producing water retention in the body


SIADH Labs Urine chemistry: Think CONCENTRATED.
● Increased urine sodium
●Increased urine osmolarity
●Increased Urine Specific Gravity > 1.030
● As urine volume decreases, urine osmolarity
increases. (decreased UOP)


Blood chemistry: Think DILUTE.
● Decreased serum sodium (dilutional
hyponatremia)
● Decreased serum osmolarity (less than 270
mEq/L)
● As serum volume increases, serum osmolarity
decreases.



- Increased ADH


SIADH Treatment Fluid restriction, IV hypertonic saline, Loop
Diuretics, , na correction.


Diabetes Ketoacidosis - Too much glucose & too little insulin.
Pathophysiology - Body compensates w/ osmotic diuresis
- Leads the the 3Ps (Polyuria, polydipsia,
polyphagia) & glycourisa, dehydration & electrolyte
imbalance.
- Leads to fat burning metabolism - ketone release -
kussmaul breathing

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