Diabetes insipidus Flashcards

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1
Q

anti diuretic hormone is produced by the

A

hypothalamus gland

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2
Q

anti diuretic hormone allows for decreased _______ output & increase in __________

A
  • urine output

- water absorption in the kidneys

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3
Q

anti diuretic hormone is stored in the

A

posterior pituitary gland

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4
Q

Diabetes is caused by an

A

deficiency of or decreased response to ADH within the body

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5
Q

two kinds of Diabetes insipidus

A

neurogenic (central)

nephrogenic

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6
Q

diabetes insipidus prevents people from

A

appropriately concentrating urine & reabsorbing water, especially problematic in times of water restriction or unavailability

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7
Q

Neurogenic or central (Diabetes insipudus)

A

occurs when body is unable to or is deficient in the production or release of ADH

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8
Q

Nephrogenic Diabetes insipidus

A

occurs when kidneys do not respond appropriately to the presence of ADH

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9
Q

Two forms of Diabetes insipidus are similar in that both result in

A

exaggerated fluid intake & urine output and are both ADH disorders

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10
Q

Differences: Neurogenic (central) DI

A
  • may be due to trauma
  • may be temporary (ex head injury or surgery)
  • ability to concentrate some urine
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11
Q

Differences: Nephorgenic DI

A
  • may be genetic or accquired etiology

- effects are permanent and may include hypokalemia or hypercalcemia

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12
Q

Cheif mnfts of diabetes insipidus

A
  • excessive thirst

- large urine output

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13
Q

potential complications of diabetes insipidus

A
  • electrolyte imbalances
  • dehydration
  • these comlications may cause muscle weakness, hypotension, hypternatremia, tachycardia
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14
Q

diagnosing DI

A
  • thorough 24 hr documentation of urine output recorded
  • doctors must disqualify kidney disease & glucose as potential causes of excessive urine output
  • ADH levels along with plasma & urine osmolartiy will be tested before & after fluid deprivation
  • pharmacological tests may b administered via introdoucing ADH, nephrogenic Di wil not respond to theses drugs as ADH receptors are what is damaged
  • if neurogeinc MRI of pituitary hypothalamic region
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15
Q

Treatment for neurogenic

A
  • manage disorder by drinking water when thirsty and may receive pharmacological ADH supplements in order to recftify deficeney
  • respond to thiazide diuretics (aids body in sodium & water reabsorption in kidneys)
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16
Q

Treatment for nephrogenic

A

-respond to thiazide diuretics (aids body in sodium & water reabsorption in kidneys)