Question

Please answer the following, Thanks

19. Name one condition that is contraindicated for medications used to treat Conn’s syndrome.

20. Name one condition that is contraindicated for medications used to treat Pheochromocytoma.

Fill in the following table.

21. Describe what diabetes insipidus and a nursing intervention.

22. Describe what SIADH and a nursing intervention.

DIABETES MEDICATIONS

23. Please fill in the following insulin chart. (The first one is done as example).

Classification	Insulin	Onset of action	Peak	Duration
Rapid/ fast acting	Lispro(Humalog)	15 minutes or less	0.5-1 hour	3-4 hours
Short Acting	Regular Insulin
Intermediate	NPH Insulin
Long acting	Glargine (Lantus)

24. Mr. Smith gets his breakfast tray at 8am. At what time should the Nurse administer Regular Insulin (Humulin R) and what is the rationale behind it?

25. Oral Diabetic Medications

Class/Medication	Action	Side effects	Nursing and client teaching
Sulfonylureas
Meglitinides
Biguanides (Metformin)
Thiazolidinediones
Alpha Glucosidase inhibitors
Glipitines

Answer 1

19. Conns syndrome is mainly treated with spironolactone .

Spironolactone is contraindicated in patients with hyperkalemia, Addison's disease (chronic adrenal insufficiency), or other conditions associated with hyperkalemia and should not be administered to those who are receiving other potassium-sparing agents.

20. Main treatment of pheochromocytoma is with beta blockers .

Propranolol is contraindicated in reversible airway disease such as asthma , COPD etc

21. Diabetes insipidus is a disorder of the pituitary gland caused by deficiency of ADH characterized by excess thirst and passage of large volume of (up to 15 quarts/day) diluted colourless urine, dry hands, and constipation

Nursing interventions :-

- daily weights, restrict diuretic foods (coffee)

- treat dehydration/electrolyte imbalance,

- teach client to drink when thirsty, wear medical alert bracelet, signs of dehydration

- fiber and/or laxatives for constipation

- skin care; moisturize, soft toothbrush, alcohol-free products

22. SIADH - syndrome of inappropriate antidiuretic hormone

pituitary gland releases too much ADH in response, kidneys reabsorb more water decreasing urine output and expand bodys fluid volume

pt experiences hyponatremia, hemodilution and fluid overload without edema

water is being absorbed by the body and returned to circulation which increases blood volume - kidneys not peeing it out.

Nursing interventions :-

- inatke of vasopressin

- daily weight monitoring

- fluid restrictions

- IV hypertonic saline infusion

- removal of tumor