NUR 410 Med-Surg: Exam 3 Latest Update Questions with Excellent Solution Graded A+ Guaranteed Pass
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Course
NURSING PROGRAM
Institution
NURSING PROGRAM
NUR 410 Med-Surg: Exam 3 Latest Update
Questions with Excellent Solution Graded
A+ Guaranteed Pass
- *ACTH* (nl to inc; or dec depending on cause)
- If it stops sending messages then they know the problem is not the pituitary gland, but in the adrenal
gland
- You need a lot of cortisol in the...
- CNS manifestations: irritability, mental dullness, coma - Answer -What are the CM of diabetes
insipidus?
- *Severe hypertension*
- *Resistant to treatment*
- *May be very labile*
- *Severe pounding H/A*
- *Tachy/palpitations/angina/EKG changes* (BP can be persistent, fluctuating, intermittent (episodic),
paroxysmal)
- *Profuse diaphoresis*
- Hyperglycemia
- Weight loss
, - Anxiety
- provoked by many meds: antiHTN, opioids, radiologic contrast media, Tricyclic antidepressants -
Answer -What are the CM of pheochromocytoma?
- 24 hr Urinary: free cortisol (dec/low) (better than a blood test)
- Serum cortisol (dec)
- Serum ACTH: *Inc* in Primary (adrenal gland doesn't make cortisol); *Dec* in secondary (Pituitary
doesn't produce ACTH adequately)
- ACTH stimulation test
- Serum glucose, Na (dec)
- potassium, BUN (inc)
- Anemia
- CT/MRI - Answer -What is the diagnostic tests for addison disease?
- 285-295 mmol/kg
- <265 is hypo-osmolality
- >320 is hyper-osmolality - Answer -What is the normal serum osmolality?
- ACTH deficit resulting in lack of glucocorticoids & androgens
- Disorder of pituitary function
- Overuse or abrupt w/drawal of exogenous corticosteroids (AIDS, TB can destroy adrenals) -
Answer -What is the secondary disease of addison disease?
- Adequate ADH but decreased renal response to ADH
- Onset & fluid losses less significant than with central
- Causes: drug therapy, renal damage/renal failure, hereditary, electrolyte imbalances (Drugs, i.e. Lithium
therapy is one common drug cause
- other causes: hypokalemia, hypercalcemia, pregnancy-gestational
- Vasopressin receptors (V) on kidney, kidney does not respond to ADH, or damage of receptors -
Answer -What is there to know about Nephrogenic DI?
- ADH (vasopressin) is synthesized in the hypothalamus & transported/stored in posterior pituitary gland
- Answer -What does the posterior pituitary gland store?
- Adrenal & Pituitary for inoperable tumors
- aka drug induced Medical Adrenalectomy
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