Page 1442 - Saunders Comprehensive Review For NCLEX-RN

(AST) and alanine aminotransferase
(ALT)

3. Interventions

a. Assess the child’s physical growth and
compare growth with standards.
b. Recommend annual bone age
determinations for children receiving
growth hormones.
c. Monitor vital signs, blood glucose
levels, AST and ALT levels, and
thyroid function tests.
d. Teach the client and family about the
clinical manifestations of
hyperglycemia, other side and adverse
effects of therapy, and the importance
of follow-up regarding periodic blood
tests.

II. Antidiuretic Hormones

A. Desmopressin acetate; vasopressin
B. Description
1. Antidiuretic hormones enhance reabsorption of water
in the kidneys, promoting an antidiuretic effect and
regulating fluid balance.
2. Antidiuretic hormones are used in diabetes insipidus.
3. Vasopressin is used less commonly than desmopressin
acetate to treat diabetes insipidus; vasopressin is
commonly used to treat septic shock.

C. Side and adverse effects

1. Flushing
2. Headache
3. Nausea and abdominal cramps
4. Water intoxication
5. Hypertension with water intoxication
6. Nasal congestion with nasal administration
D. Interventions
1. Monitor weight.
2. Monitor intake and output and urine osmolality.
3. Monitor electrolyte levels.
4. Monitor for signs of dehydration, indicating the need
to increase the dosage.

5. Monitor for signs of water intoxication

(drowsiness, listlessness, shortness of breath, and
headache), indicating the need to decrease dosage.

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