Which of the following is a likely potential serious complication in patients diagnosed with SIADH?

Acute severe weight loss

Dilutional hyponatremia

Excessive urine output

Weak thready pulses

Answer and Explanation

The Correct Answer is B

A.   This is not a typical complication of SIADH. In fact, patients with SIADH often retain fluid.
B.   SIADH leads to excessive water retention, which dilutes the sodium concentration in the blood, causing hyponatremia.
C.   This is opposite to what happens in SIADH. Patients with SIADH actually produce less urine.
D.   While this can be a sign of low blood pressure, it's not specifically related to SIADH.

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Correct Answer is A

Explanation

A. Asthma is a reversible obstructive airway disease characterized by inflammation and narrowing of the airways. With proper management and medication, asthma symptoms can be controlled, and airway obstruction can be reversed.
B. COPD is a progressive, irreversible lung disease that involves damage to the alveoli and airways. While symptoms can be managed, the underlying lung damage is permanent.
C. Emphysema is a type of COPD characterized by destruction of the alveoli. It is irreversible.
D. Bronchitis is inflammation of the bronchial tubes. While acute bronchitis can be reversed, chronic bronchitis is a component of COPD and is therefore irreversible.

A. Rapidly administer an IV infusion of 0.9% sodium chloride B. Administer an IV infusion of Insulin Glargine at 3 units/kg/hr C. Add glucose to the IV infusion when blood glucose is 350 mg/dL D. Administer a slow IV infusion of 3% sodium chloride

Correct Answer is A

Explanation

A. Patients with DKA are severely dehydrated due to osmotic diuresis caused by hyperglycemia. Rapid fluid resuscitation with normal saline (0.9% sodium chloride) is crucial to correct fluid and electrolyte imbalances.
B. Insulin Glargine is a long-acting insulin not suitable for acute management of DKA. Rapid-acting insulin, such as regular insulin, is used in an IV infusion.
C. Glucose is not added to the IV infusion during the initial phase of DKA treatment. The focus is on correcting fluid and electrolyte imbalances and lowering blood glucose with insulin.
D. 3% sodium chloride is a hypertonic solution used in specific circumstances, not for initial fluid resuscitation in DKA.

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Which of the following is a likely potential serious complication in patients diagnosed with SIADH?

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