CCRN Critical Care Nursing

Category - Neonatal

A 7 year old child is brought to hospital with complaint of excessive thirst. Her mother tells that she usually drinks more than 60 regular glass of water daily but still feels thirsty and has to urinate frequently almost more than 20 times/day. Her appetite is normal and weight is normal for her age. She was irradiated for craniopharyngioma at the age of 5 years. Which of the following is best medication to control her symptoms?
  1. Insulin
  2. Corticosteroids
  3. Increased water intake
  4. Vasopressin
Explanation
Answer: D -Vasopressin is best treatment option to control her symptoms of polydipsia and polyuria as she is most likely suffering from diabetes insipidus.Vasopressin causes release of antidiuretic hormone or ADH from endothelium which is deficient in diabetes insipidus.
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