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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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PCCN Study Latest Exam 2026/2027... PRN 1520 Exam 1 High Yield Review Pathophysiology--NU545-- UNIT 7 -... Int

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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 (increased) ADH (SIADH) excessive secretion of antidiuretic hormone 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 Pathophysiology - Too much glucose & too little insulin.
- 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


diabetes ketoacidosis s/s Neuro: Lethargic, confused, decreased DTR, n/v
Cardio: Tachycardia & Hypotension
Pulmonary: Fruity breath & kussmaul breathing
3Ps (Polyuria, polyphagia, polydipsia


diabetes ketoacidosis labs PH (acidotic - Increased ketones)
Urine Glucose
Blood Glucose 300 - 800
Decrease HCO3
Decrease Na
Elevated K
Increased Anion Gap


Diabetes Ketoacidosis Treatment -Hospitalization
-Correction of fluid (isotonic sol/hypotonic) and electrolyte balances
-Administer insulin


Hyperosmolar a life threatening syndrome that can occur in the patient with diabetes type 2
who is able to produce enough insulin to prevent DKA but not enough to
prevent severe hyperglycemia, osmotic diuresis, and extracellular fluid
depletion.

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