Question

Please solve the problems in details thanks!

Case Study - 8 points total 1) You are a Registered Nurse Clinician taking care of Miss. X, a 16-year-old admitted after a pituitary surgery, she is now hypematremic (Na+ = 150 mmol/L) secondary to diabetes insipidus. The doctor prescribes Vasopressin, a synthetic form of Antidiuretic Hormone (ADH), based on her weight. Before you administer this medication, you explain your thought process to yourself a) Explain the action of Antidiuretic Hormone (ADH) and where it is released 2 points b. Miss X is getting anxious about whether she will continue to urinate as much as she has been doing. Explain to her, in layman terms, what the Vasopressin will do to her urination status, and how this medication is related to treating her high sodium in the blood (i.e. hypernatremia). 3 points She starts to complain of dizziness after the surgery, and you realize that her glucose level is 9 mmol/L. Her mother -- who is applying to nursing school.. asks you if this is due to her diabetes, or are there other hormones being released that would cause this glucose value? What do you respond to her (using medical terms)? 3 points Qs 2-4: Rapid Fire questions (1 word to 3 line responses maximum) - 8 points total 2) Patient Y is 50 years old and comes in reporting symptoms of muscle pains, nausea and gut irritation. He reports taking more Vitamin D tablets than the recommended dosage, because he read about the benefits through an online post. Explain what changes occur in the endocrine system with elevated Vitamin D levels. 1.5 points 3) Explain what changes occur to Adipose cells with the release of Growth Hormone (GH), 2 points 4) Sam and Kim are long-time friends since nursing school, and now they are colleagues They have just finished a very difficult night shift at the hospital, and decide to hug each other goodbye after their shift ends. a) What hormone is the being produced when they hug? 0.5 points b) Where is this hormone produced? 0.5 points c) Where is this hormone released from? 0.5 points d) Name the main emotional change that they might feel during this interaction 1 point e) Explain how the stress pathway (within the central nervous system) would be affected by this hug 2 points

Answer 1

1

a. Antidiuretic Hormone is produced by hypothalamus and is stored and released by pituitary gland. It controls the kidney to

regulate water reabsorption and excretion of urine. High ADH levels indicate less urine output and vice versa.

b. Vasopressin is given to reduce the urine output thus increasing the intracellular volume and correcting water deficit. It increases the thirst too.

hypeenatremia is corrected by vasopressing by making the patient hyoervolemic. But this should be done slowly.

c. After pituitary gland surgery there will be partial or complete lack of ADH. So patient will be excreting large volume of urine and also thirsty . This doesnt have any effect on blood glucose levels.

2. Hyper vitaminosis D causes hyper calcimia, muscle pain etc

also causes Hashimotos disease, hyperparathyroidism etc.

3. Growth hormone causes lipolysis of adipise cells

4. Oxytocin is produced by pituitary gland and released into the body. It reduces cortisol a stree hormone. so when we hug we ate feeling happy