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Altered Hormonal and Metabolic Regulation - Coggle Diagram

- - - - polyuria
      - excessive thirst
      - dehydration
    - - hydration
      - pharmocologic: desmopressin
      - correction of the cause
    - - dehydration, enlarged bladder
      - low serum solute concentration, ADH levels, specific gravity of urine
  - - - gland destruction
      - pharmacologic block of thyroid hormone
    - - enlarged thyroid gland
      - excessive metabolic rate
      - weight loss, sweating, tachycardia, palpitations
    - - enlarged thyroid gland
      - serum TSH measurement: thyroxine needed
      - T3 and T4 levels
  - - - IV fluid replacement along with hydrocortisone
      - salt increase, lifelong glucocorticoid replacement
    - - electrolyte levels demonstrating hyponatremia and hyperkalemia
      - serum corticosteroid levels
    - - hyper pigmentation, hypotension, shock
- - - - fatigue, cold intolerance, weakness, weight gain, dry skin, coarse hair, lethargy, impaired reproduction
    - - replacing hormone: pharmacologic
    - - TSH, free t4, total t4, t3 uptake, thyroid antibodies
  - - - 24 hour urine collection; noting elevated cortisol
    - - removing cause of excess hormone production
    - - metabolic alterations, obesity, osteoporosis, behavioral changes
- - - - decreased urine output
      - concentrated urine output
      - associated with hyponatremia: nausea, vomiting, headache, muscle cramps, weakness
    - - hyponatremia, hypotonicity, decreased urine volume, concetrated urine, absence of renal/adrenal/thyroid abnormalities
    - - water restriction
      - IV hypertonic saline
      - pharmacologic