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Multiple Choice
In the context of organ systems, to which patient condition is the administration of mannitol most appropriate?
A
A patient with increased intracranial pressure
B
A patient with hypertension
C
A patient with diabetes mellitus
D
A patient with chronic kidney disease
Verified step by step guidance
1
Understand the function of mannitol: Mannitol is an osmotic diuretic, which means it helps to remove excess fluid from the body by increasing urine production. It is particularly effective in reducing intracranial pressure by drawing fluid out of the brain tissue and into the bloodstream.
Identify the condition associated with increased intracranial pressure: Conditions such as traumatic brain injury, brain tumors, or cerebral edema can lead to increased intracranial pressure, which can be life-threatening if not managed properly.
Consider the effects of mannitol on other conditions: While mannitol is effective for reducing intracranial pressure, it is not typically used for hypertension, diabetes mellitus, or chronic kidney disease. In fact, its use in patients with kidney disease must be carefully monitored due to potential complications.
Evaluate the appropriateness of mannitol for each condition: For hypertension, other medications like ACE inhibitors or beta-blockers are more appropriate. For diabetes mellitus, insulin or oral hypoglycemics are used. For chronic kidney disease, treatment focuses on managing underlying causes and symptoms, not using mannitol.
Conclude that mannitol is most appropriate for a patient with increased intracranial pressure, as it directly addresses the need to reduce fluid accumulation in the brain, thereby lowering the pressure.