Diabetes Insipidus Case Study (60 min)

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Study Tools For Diabetes Insipidus Case Study (60 min)

Diabetes Insipidus Pathochart (Cheatsheet)
Diabetes Insipidus (Mnemonic)
Diabetes Insipidus Assessment (Picmonic)
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Outline

Mrs. Ford is a 32 year old female who was admitted to the neuro ICU two days ago after a fall, which caused a large epidural hematoma over the left parietal lobe. She was intubated due to a low level of consciousness to protect her airway. An External Ventricular Drain (EVD) was placed to monitor her ICP. She also has an orogastric tube, and a Foley catheter in place

Critical Thinking Check
Bloom's Taxonomy: Application

You just started your shift, what nursing assessments will be your priority at this point?

VIEW ANSWER

Mrs. Ford’s vital signs are as follows:
BP 124/68 MAP 86

HR 84 Temp 98.9
RR 16 (ventilated)
ICP 12

 

She is not on any sedation. You determine her GCS is 6, she withdraws to pain, but does not open her eyes. Her pupils are equal and reactive bilaterally, 4mm. For this hour she has put out 120 ml of urine that is clear and yellow. She is receiving normal saline at 75 mL/hour as well as tube feeds at 40 mL/hour. Her EVD is open at 15 cmH2O and draining a clear pink fluid, 6 ml this hour.

faq lesson=”true” blooms=”Application” question=”Calculate her cerebral perfusion pressure.”]

  • CPP = MAP – ICP
  • 86 – 12 = 74 mmHg [/faq]
Critical Thinking Check
Bloom's Taxonomy: Analysis

Given the assessment information that you have, what are you most concerned for with this patient?

VIEW ANSWER

Hourly urine output for Mrs. Ford For the last 3 hours were 180 mL, 240 mL, and 440 mL. The urine is clear and barely pale yellow. Her blood pressure is 108/56, HR is 104. Her ICP is 15.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What could be going on physiologically with Mrs. Ford?

VIEW ANSWER

Critical Thinking Check
Bloom's Taxonomy: Analysis

What further diagnostic testing do you expect the provider to order?

VIEW ANSWER

Lab Values:
Na+ 155 mg/dL
Serum osmo 310 mOsm/kg
Urine SG 1.005

Critical Thinking Check
Bloom's Taxonomy: Analysis

Explain the significance of these lab values considering the patient's diagnosis.

VIEW ANSWER

Critical Thinking Check
Bloom's Taxonomy: Analysis

What medications and or treatment changes do you expect the provider to order?

VIEW ANSWER

The provider orders the following:

Free water flush via OG Tube – 200 mL q4h

Change IVF to D5W at 125 mL/hr

Desmopressin (DDAVP) 2 mcg IV push q 12h

Daily weight

q4h Sodium and Serum Osmolality levels

You set the tube feeding pump to administer the free water and change the IV fluids while waiting for the DDAVP from the pharmacy

Critical Thinking Check
Bloom's Taxonomy: Analysis

What regular monitoring will need to be done for Mrs. Ford during this treatment?

VIEW ANSWER

After 2 days of treatment, misses Fords urine output and urine specific gravity return to Baseline. However, she continues to have a GCS between 4 + 6, and now her left pupil is 8mm and fixed. The nurse notes her respiratory rate is erratic, her ICP is 18, and her heart rate is dropping.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What do you believe could be happening to Mrs. Ford at this time?

VIEW ANSWER

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Endocrine

Concepts Covered:

  • Endocrine System
  • Tissues and Glands
  • Disorders of Pancreas
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Oncology Disorders
  • Pregnancy Risks
  • Respiratory Disorders
  • Terminology
  • Disorders of the Posterior Pituitary Gland
  • Eating Disorders
  • Medication Administration
  • Statistics
  • Female Reproductive Disorders
  • Renal Disorders
  • Substance Abuse Disorders
  • Renal and Urinary Disorders
  • Newborn Care
  • Studying
  • Urinary System
  • Noninfectious Respiratory Disorder

Study Plan Lessons

Pituitary Gland
Pancreas
Glands
Metabolic & Endocrine Module Intro
Metabolic/Endocrine Course Introduction
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Pituitary Adenoma
Thyroid Cancer
Glucose Tolerance Test (GTT) Lab Values
Thyroid Gland
Pituitary Gland
Free T4 (Thyroxine) Lab Values
Glucose Lab Values
Iodine Nursing Considerations
Levothyroxine (Synthroid)
Hypoparathyroidism
Hyperthyroidism Case Study (75 min)
Metabolic & Endocrine Module Intro
Metabolic & Endocrine Terminology
Metabolic/Endocrine Course Introduction
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Thyroid Cancer
Pituitary Adenoma
Pituitary Gland
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Thyroid Cancer
Thyroid Gland
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
Triiodothyronine (T3) Lab Values
Metabolic & Endocrine Terminology
Antidiabetic Agents
Hypoparathyroidism
Iodine Nursing Considerations
Hyperthyroidism Case Study (75 min)
Free T4 (Thyroxine) Lab Values
Levothyroxine (Synthroid)
Metabolic & Endocrine Module Intro
Metabolic/Endocrine Course Introduction
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Thyroid Cancer
Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)
Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)
Thyroid Cancer
Triiodothyronine (T3) Lab Values
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Hypothyroidism
Pituitary Adenoma
Pituitary Gland
Thyroid Gland
Hypoparathyroidism
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Metabolic & Endocrine Terminology
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hypoparathyroidism
Thyroid Gland
Thyroid Cancer
Diabetes Mellitus Case Study (45 min)
Glucose Lab Values
Hypoglycemia
Glucagon Lab Values
Glipizide (Glucotrol) Nursing Considerations
Glands
Metabolic & Endocrine Terminology
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Hypoglycemia
Pancreas
Adrenal Gland
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Cortisol Lab Vales
Cortisone (Cortone) Nursing Considerations
Corticosteroids
Cushing’s Syndrome Case Study (60 min)
Metabolic & Endocrine Terminology
Metabolic/Endocrine Course Introduction
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Cushing’s Disease
Pituitary Gland
Diabetes Insipidus Case Study (60 min)
Free T4 (Thyroxine) Lab Values
Growth Hormone (GH) Lab Values
Metabolic & Endocrine Terminology
Metabolic/Endocrine Course Introduction
Cortisol Lab Vales
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Pituitary Adenoma
Pituitary Gland
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroid Gland
Growth Hormone (GH) Lab Values
Pituitary Adenoma
Pituitary Gland
Cushing’s Syndrome Case Study (60 min)
Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Nursing Mnemonic (DDD)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Glipizide (Glucotrol) Nursing Considerations
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Type 1 Diabetes
Pituitary Gland
Protein in Urine Lab Values
Urinalysis (UA)
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Cushing’s Syndrome Case Study (60 min)
Cushings Assessment Nursing Mnemonic (STRESSED)
Nursing Care Plan (NCP) for Cushing’s Disease
Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Nursing Mnemonic (DDD)
Enuresis
Metabolic/Endocrine Course Introduction
Metabolic & Endocrine Module Intro
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Urinalysis (UA)
Nursing Care Plan (NCP) for Diabetes Insipidus
Diabetes Insipidus Case Study (60 min)
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetic Ketoacidosis (DKA) Case Study (45 min)
DKA Treatment Nursing Mnemonic (KING UFC)
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Case Study for Type 1 Diabetes
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Glucose Lab Values
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Adrenal Gland
Antidiabetic Agents
Blood Glucose Monitoring
Diabetes Management
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Glipizide (Glucotrol) Nursing Considerations
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypoglycemia
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin
Insulin Mixing
Insulin Drips
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Metformin (Glucophage) Nursing Considerations
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Case Study for Type 1 Diabetes
Pancreas
Corticosteroids
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care and Pathophysiology for Cushings Syndrome
Cushings Assessment Nursing Mnemonic (STRESSED)
Cushing’s Syndrome Case Study (60 min)
Adrenal Gland
Addisons Disease
Addisons Assessment Nursing Mnemonic (STEROID)
Cortisol Lab Vales
Cortisone (Cortone) Nursing Considerations
Corticosteroids
Adrenal Gland
Addisons Disease
Cushing’s Syndrome Case Study (60 min)
Cushings Assessment Nursing Mnemonic (STRESSED)
Glucose Lab Values
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Pituitary Adenoma
Pancreas
Glucagon (GlucaGen) Nursing Considerations
Glucagon Lab Values
Hypoglycemia
Nursing Care Plan (NCP) for Hypoglycemia
Pancreas
Adrenal Gland
Antidiabetic Agents
Blood Glucose Monitoring
Diabetes Management
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Corticosteroids
Disease Specific Medications
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Glipizide (Glucotrol) Nursing Considerations
Glucose Tolerance Test (GTT) Lab Values
Glucose Lab Values
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypoglycemia
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Insulin Mixing
Insulin Drips
Insulin – Short Acting (Regular) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Case Study for Type 1 Diabetes
Pancreas
Pituitary Gland
Growth Hormone (GH) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroid Gland
Pituitary Gland
Nursing Care Plan (NCP) for Hyperthyroidism
Free T4 (Thyroxine) Lab Values
Triiodothyronine (T3) Lab Values
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroid Gland
Thyroid Cancer
Pituitary Gland
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Free T4 (Thyroxine) Lab Values
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Pituitary Gland
Thyroid Gland
Thyroid Cancer
Triiodothyronine (T3) Lab Values
Thyroxine (T4) Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hyperparathyroidism