wk 9 patho dis example 1.docx - Wk 9 Discussion Review Chapter 19 in the Huether and McCance text and Chapter 18 in the McPhee and Hammer text Identify

wk 9 patho dis example 1.docx - Wk 9 Discussion Review...

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Wk 9 DiscussionReview Chapter 19 in the Huether and McCance text and Chapter 18 in the McPhee and Hammer text. Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.By Day 3Post an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. Describe the differences and similarities between resulting alterations of hormonal regulation. Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.DiabetesThis discussion will focus on diabetes mellitus and diabetes insipidus. Diabetes insipidus is classified as a syndrome in which the body cannot secrete or has a lack of vasopressin, therefore; polyuria results. There are two types of diabetes insipidus, central diabetes insipidus and nephrogenic diabetes insipidus. Central diabetes insipidus is common caused by head injury, trauma, or a intracranial tumor. On the other hand, nephrogenic diabetes insipidus results from genetics or renal damage from drugs (Hammer & McPhee, 2014). Diabetes mellitus can present as Type I or Type II. Diabetes mellitus type I is a chronic pediatric disease and has a strong genetic factor. As a result, beta cells in the pancreas are destroyed by the activation of cellular immunity and humoral immunity. Those with type I diabetes must administer insulin to survive. Diabetes mellitus Type II results from beta cells in the pancreas becoming insulin resistant. Thereis an abnormality of the insulin molecule that may include down-regulation of the insulin receptor and alteration of the protein which helps transport glucose called GLUT (Huether & McCance, 2017).DifferencesDiabetes insipidus causes an over-production of urine due to a lack of vasopressin. Renal conditions, alcoholism, traumatic brain injury, and intercranial tumors can cause this syndrome (Milano, Carmosino, Gerbino, Svelto, & Procino, 2017). Central diabetes insipidus can be permanent or transient, and nephrogenic is reversible once the drug causing vasopressin sensitivity (Hammer & McPhee, 2014). One the other hand, diabetes mellitus is due to the underproduction or incapacity of the pancreas to function. This may be due to obesity, genetics, environment, and behaviors leading to lack of activity (Hendricks, et al., 2018). Diabetes type I is chronic and diabetes type II can be controlled with diet and exercise. If type II is uncontrolled, medicines can be used to help control through an oral or injectable medication (Huether & McCance, 2017).
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