Hurst Review (exam post- test)

FLUID VOLUME EXCESS: HYPERVOLEMIA Define: too much volume in the __________________ _________________ a. CHF: heart is__________, CO__________, decreased__________ perfusion, UO__________ *the volume stays in the _________________ _______________ b. RF: Kidneys aren't____________________ c. Alkaseltzer Fleets enemas All 3 have a lot of_______________ IVF with Na d. Aldosterone (steroid, mineralocorticoid) Where does aldosterone live? -Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone secretion increases→ retain Na/water→ blood volume ______ ** Diseases with too much aldosterone: -also seen with liver disease and heart disease 1._________________________ 2._________________________ **Disease with too little aldosterone: 1._________________________ Hurst Review Services 3 e. ADH (anti-diuretic hormone) Normally makes you retain or diurese? Retain? _________________________ 2 ADH problems Too Much Not enough Retain Lose (diuese) Fluid Volume _________ Fluid Volume __________ SIADH DI Syndrome of Inappropriate ADH Secretion Diabetes Insipidus Urine Urine Blood Blood *Concentrated makes #’s go up specific gravity, Na *Dilute makes #’s go down ADH lives in pituitary; key words to make you think potential ADH problem: craniotomy, head injury, sinus surgery, transphenoidal hypophysectomy *Another name for anti-diuretic hormone (ADH) is Vasopressin. The drug Vasopressin (Pitressin or DDAVP (Desmopressin acetate) may be utilized as an ADH replacement in Diabetes Insipidus.