A patient is prescribed desmopressin for central diabetes insipidus. Which finding should the nurse report first?
Correct answer: A. Headache, confusion and a falling serum sodium level
- A. Headache, confusion and a falling serum sodium level
- B. Mild thirst with clear urine during the first treatment day
- C. A pulse rate of 78 beats per minute while resting
- D. A serum potassium level within the reference range
Explanation
Desmopressin reduces excessive urine loss, but excessive water retention can cause dilutional hyponatraemia. Headache and confusion are warning signs of water intoxication and require prompt review.
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About Endocrine and Diabetes Drugs
Endocrine pharmacology includes insulin preparations, oral antidiabetic drugs, thyroid and antithyroid medicines, corticosteroids, sex hormones and drugs affecting calcium balance. Questions address onset and duration, administration, monitoring, hypoglycaemia, steroid adverse effects and the difference between replacing a deficient hormone and suppressing excessive hormone activity.
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