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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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colleen colleen
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11 years ago
The nurse is caring for a patient who experienced a closed head injury six days ago. The patient’s urine output over the previous 24 hours was 10,000 mL. Total intake for the same period was 1,200 mL. Urine specific gravity is 1.010 g/mL. The patient receives the following prescriptions. Which order will the nurse clarify with the primary healthcare provider?
1. desmopressin (Minirin) 0.2 mg IM daily
2. oral fluid restriction of 800 mL per day
3. 3% Normal saline at 100 mL per hour
4. computed tomography scan of head
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Sunshine ☀ ☼

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#1
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11 years ago
1 -- Desmopressin acetate is administered intranasally, orally or parenterally, and is the treatment of choice for SIADH that cannot be treated by correcting the underlying cause. Strategies for correcting the underlying cause of SIADH include treating the hyponatremia with intravenous hypertonic saline, and restricting oral fluids to less than 800 mL/day. A CT scan is an appropriate diagnostic tool.
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