With Diabetes Insipidus, patients experience polyuria and polydipsia, what is an important aspect of treatment?
Adjust thirst sensation
Hydration
24-hour urine collection
Increasing Antidiuretic Hormone
The Correct Answer is B
A. Adjusting thirst sensation is not the primary focus of treatment for Diabetes Insipidus. The condition is more concerned with fluid balance and preventing dehydration due to excessive urination.
B. Hydration is crucial in the management of Diabetes Insipidus, as patients experience excessive urination and fluid loss. Proper hydration helps prevent dehydration and its associated complications.
C. A 24-hour urine collection is used to assess the extent of polyuria but is not a primary treatment strategy. Treatment focuses on managing fluid balance rather than just monitoring urine output.
D. While increasing Antidiuretic Hormone (ADH) or using synthetic ADH (desmopressin) can be part of treatment, the key treatment focus is maintaining adequate hydration to counteract the effects of polyuria.
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Related Questions
Correct Answer is B
Explanation
A. Anorexia is a common manifestation of SIADH due to the effects of hyponatremia (low sodium levels) and fluid retention.
B. Edema of fluid overload is not a typical manifestation of SIADH. While SIADH leads to fluid retention due to excess antidiuretic hormone (ADH), the excess fluid is typically intracellular and does not cause peripheral edema as seen in conditions like heart failure or nephrotic syndrome.
C. Vomiting is a common manifestation of SIADH, often related to the effects of hyponatremia, which can irritate the gastrointestinal system.
D. Nausea is also a common symptom of SIADH due to the imbalance of electrolytes, particularly low sodium levels, which can affect the brain and lead to nausea.
Correct Answer is B
Explanation
A. Needle thoracentesis is typically performed in cases of pneumothorax or pleural effusion, not asthma exacerbation. The symptoms described do not indicate a pleural space issue that would require thoracentesis.
B. Emergency intubation may be necessary if the asthma exacerbation is severe and unresponsive to initial interventions such as bronchodilators, corticosteroids, and oxygen therapy. The patient's symptoms of severe dyspnea, accessory muscle use, and wheezing suggest respiratory distress, and intubation may be required to secure the airway and assist with ventilation.
C. Pleurodesis is a procedure used to treat recurrent pleural effusions, not asthma exacerbations. It involves the obliteration of the pleural space, which is not relevant to the current situation.
D. Chest tube insertion is typically performed for pneumothorax or other issues involving the pleural space, not for asthma exacerbation. The described symptoms do not suggest the need for a chest tube.
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