Clinical - Diabetes and Ion Balance Flashcards
What is central diabetes insipidus
Absence of circulating vasopressin due to destruction of the pituitary or congenital causes
What is nephrogenic diabetes insipidus
Resistance of the renal collecting duct cell to the actions of vasopressin
What three drugs may induce nephrogenic diabetes insipidus
Lithium
Demeclocycline
Amphotericin B
What electrolyte abnormality may induce nephrogenic diabetes
Hypercalcemia
Hypokalemia
What is the serum sodium in diabetes insipidus compared to primary polydipsia
Diabetes - high-normal or increased
Polydipsia - low-normal or low
What sign implies volume depletion
Orthostatic hypotension
What sign implies volume excess
Edema
What are the symptoms of hypokalemia
Weakness, ileus, polyuria, rhabdomyolysis