Which preparation of antidiuretic hormone (ADH) is occasionally used to treat enuresis?
1. Bromocriptine (Cycloset)
2. Vasopressin (Pitressin)
3. Betamethasone (Celestone)
4. Desmopressin (Stimate)
4
Rationale 1:Bromocriptine (Cycloset) is used for the treatment of acromegaly (overproduction of growth hormone).
Rationale 2: Vasopressin (Pitressin) is a human ADH but only lasts 2–8 hours.
Rationale 3: Betamethasone (Celestone) is a glucocorticoid.
Rationale 4: A theory of treatment for enuresis is that these clients might benefit from ADH preparations for bladder control.Desmopressin is preferred as it has a duration of action of 20 hours.
Global Rationale: Desmospressin is a synthetic form ofhuman ADH that acts on the renal tubular cells to increase the reabsorption of water. It has a duration of action of up to 20 hours and is used to manage enuresis or bedwetting that occurs during the night.
You might also like to view...
In order for a case of nursing malpractice to be proven, which of the following must be proven? Standard Text: Select all that apply
1. Duty 2. Breach of duty 3. Causation 4. Harm 5. Negligence
Clinical depression with mixed features:
A. Indicates at least three manic symptoms coexist with a major depressive episode B. Is more prevalent in older adults than adolescents and young adults C. Decreases the likelihood that the illness exists in a bipolar spectrum D. All of the above
A patient is admitted to your unit with hepatomegaly secondary to hepatitis. When conducting patient education, the nurse should counsel the patient to
a. avoid alcohol and acetaminophen. b. have monthly liver enzymes drawn. c. measure the abdominal girth to monitor liver enlargement and report findings to the prescriber. d. discontinue use of all drugs metabolized in the liver.
The perinatal nurse knows that specific testing is provided to a woman who has had three or more perinatal losses in the first twenty weeks. Appropriate tests may include:
Select all answers that apply: A) Cervical cultures B) Sickle cell screening C) Maternal/paternal karyotype D) Thyroid stimulating hormone (TSH) levels