Thursday, June 6, 2019

Which outcome indicates that treatment of a male client with diabetes insipidus has been effective.. Fluid intake is less than 2,500 ml/day



Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?
a- Fluid intake is less than 2,500 ml/day.
b- Urine output measures more than 200 ml/hour.
c- Blood pressure is 90/50 mm Hg.
d- The heart rate is 126 beats/minute.

Answer A.
Diabetes insipidus is characterized by polyuria (up to 8 L/day), constant thirst, and an unusually high oral intake of fluids.
Treatment with the appropriate drug should decrease both oral fluid intake and urine output.
A urine output of 200 ml/hour indicates continuing polyuria.
A blood pressure of 90/50 mm Hg and a heart rate of 126 beats/minute indicate compensation for the continued fluid deficit, suggesting that treatment hasn’t been effective.

Diabetic false is an uncommon disease, similar to diabetes known in the name and is completely different in the causes of the occurrence and treatment methods, characterized by causing the feeling of thirst and the removal of large amounts of urine.

Symptoms of false diabetes:
The main complaint in the case of false diabetes is the feeling of excess thirst, and the output of large amounts of diluted urine, ranging between two and a half liters to about fifteen liters of urine, depending on the severity of the situation and the amount of water consumed daily.

Other symptoms of the disease:
- High temperature, vomiting, diarrhea.
- Urinary urination.
- Dry skin with cool limbs.
- Delayed growth in children.
- Weight loss.
- Unjustified feeling of sadness and crying.

Causes of the disease:
False diabetes occurs when the mechanism by which your body regulates the output of water and fluid that is consumed, the blood is filtered and the urine is formed by the kidneys under the influence of the anti-diuretic hormone fazopressin, which is responsible for the concentration and relaxation of urine produced.
This mechanism is sometimes disturbed by a defect in the pituitary gland secreted to the hormone vasopressin, either after surgical removal or as a result of a tumor, or as a result of head injury or inflammation of meningococcal membranes that affect the production and storage of hormone.
False diabetes also occurs as a result of a defect in the kidneys of urine, which results in the loss of large amounts of water in the urine, which is called false kidney sugar, a state of genetic inheritance sometimes and affects males more than females, and caused by some drugs, such as lithium at other times.
Diabetic diabetes also occurs during pregnancy or as a result of dysfunction in the center of thirst in the brain.

Complications of diabetic falsehood:
False diabetes causes the loss of large quantities of water, and the retention of amounts less than the body needs to perform its functions properly, leading to a drought body that appears as:
- Dry mouth.
- Muscle weakness.
- Decreased blood pressure.
- High temperature.
- Headache.
- Weight loss.
- Accelerating heart beat.

Treatment of false diabetes:
False sugar is treated based on the cause of the disease, when the deficiency of the hormone vasopressin causes the occurrence of false sugar hormone is replaced by an industrial alternative.
False kidney sugar is also treated with special drugs in addition to reducing the amount of salt in the food and drinking enough water to avoid dehydration.