This topic contains a solution. Click here to go to the answer

Author Question: The nurse caring for a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) ... (Read 78 times)

ec501234

  • Hero Member
  • *****
  • Posts: 573
The nurse caring for a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) will prepare to administer which medications to this client?
 
  Standard Text: Select all that apply.
  1. Furosemide (Lasix)
  2. Conivaptan (Viprostol)
  3. Demeclocycline (Declomycin)
  4. Tetracycline
  5. Bleomycin

Question 2

A client is prescribed octreotide (Sandostatin) but has no evidence of acromegaly. The nurse realizes that this medication is indicated for which other health problems?
 
  Standard Text: Select all that apply.
  1. Severe diarrhea
  2. Portal hypertension
  3. Bleeding esophageal varices
  4. Pancreatic fistulas
  5. Diabetes mellitus



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

sarah_brady415

  • Sr. Member
  • ****
  • Posts: 328
Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: This medication is used to remove excess fluid caused by the disorder.
Rationale 2: This medication promotes renal water excretion in clients with SIADH.
Rationale 3: This medication is used off-label to treat SIADH because it causes diuresis through inhibiting ADH-induced water reabsorption in the tubules and collecting ducts of the kidneys.
Rationale 4: This medication is not used in the treatment of SIADH.
Rationale 5: This medication is not used in the treatment of SIADH.
Global Rationale: Diuretic therapy, conivaptan (promotes renal water excretion), and demeclocycline (inhibits ADH-induced water reabsorption) are all useful in the treatment of SIADH. Tetracyline and bleomycin are indicated for use in treatment of SIADH.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Octreotide (Sandostatin) stimulates the absorption of fluid and electrolytes from the gastrointestinal tract and is approved to treat severe diarrhea.
Rationale 2: Octreotide (Sandostatin) decreases hepatic and gastrointestinal blood flow and reduces hepatic-portal venous pressure. This makes the medication useful to treat portal hypertension.
Rationale 3: Octreotide (Sandostatin) decreases hepatic and gastrointestinal blood flow and reduces hepatic-portal venous pressure. This makes the medication useful to treat bleeding esophageal varices.
Rationale 4: Octreotide (Sandostatin) is used off label to reduce the output from pancreatic fistulas.
Rationale 5: Octreotide (Sandostatin) is not used to treat diabetes mellitus.
Global Rationale: Octreotide (Sandostatin) stimulates the absorption of fluid and electrolytes from the gastrointestinal tract and is approved to treat severe diarrhea. It also decreases hepatic and gastrointestinal blood flow and reduces hepatic-portal venous pressure, making it useful to treat portal hypertension and esophageal varices. Octreotide (Sandostatin) is used off label to reduce the output from pancreatic fistulas. It is not used to treat diabetes mellitus.




ec501234

  • Member
  • Posts: 573
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)


phuda

  • Member
  • Posts: 348
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

For a complete list of videos, visit our video library