Questions and Answers
What classification does desmopressin fall under?
What are the indications for using desmopressin?
Treatment of central diabetes insipidus, controls bleeding in certain types of hemophilia and von Willebrand's disease, primary nocturnal enuresis.
What is the primary action of desmopressin?
Enhance reabsorption of water in the kidneys.
What are the therapeutic effects of desmopressin?
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What are the adverse reactions or side effects of desmopressin?
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What are the contraindications for desmopressin?
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What nursing implications should be considered when administering desmopressin?
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What should patients or families be taught regarding desmopressin?
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Study Notes
Desmopressin/DDAVP Overview
- Classification as hormones; specifically, it is an antidiuretic hormone.
- Man-made form of vasopressin used to treat specific medical conditions.
Indications for Use
- Administered via multiple routes: orally (PO), subcutaneously, intravenously (IV), and intranasally.
- Treats central diabetes insipidus due to vasopressin deficiency.
- IV and intranasal forms are utilized to control bleeding in hemophilia and von Willebrand's disease.
- Oral form helps manage primary nocturnal enuresis (bedwetting).
Mechanism of Action
- Functions as a replacement for deficient vasopressin, enhancing water reabsorption in kidneys.
- Aims to maintain body water balance and reduce urine output.
Therapeutic Benefits
- Prevents nocturnal enuresis in affected patients.
- Maintains optimal body water levels in diabetes insipidus cases.
- Assists in controlling bleeding episodes related to von Willebrand's disease.
- Decreases frequency of nocturia (nighttime urination).
Adverse Reactions and Side Effects
- Notable side effect includes the occurrence of seizures.
Contraindications
- Not suitable for individuals with hypersensitivity to desmopressin or chlorobutanol.
- Contraindicated in severe cases of type I, type IIB, or platelet-type (pseudo) von Willebrand's disease.
- Caution advised in patients with hemophilia A, renal impairment, and those with hyponatremia (low sodium levels).
Nursing Considerations
- Monitor patients for nocturnal enuresis, diabetes insipidus, and hemophilia conditions.
- Assess intake and output to prevent over-hydration, especially in hemophilia patients.
- Be vigilant for signs of water intoxication.
Patient and Family Education
- Instruct patients to inform healthcare providers if bleeding is uncontrolled or if they experience symptoms such as headaches, dyspnea, heartburn, nausea, abdominal cramps, vulval pain, or severe nasal irritation.
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Description
This quiz features flashcards focused on Desmopressin, also known as DDAVP. Explore its classifications, indications, and actions in medical practice, particularly related to hormone replacement therapy and treatment for specific medical conditions. Perfect for medical students or healthcare professionals enhancing their understanding of antidiuretic hormones.
