DIABETES INSIPIDUS Flashcards
Diabetes insipidus is decrease in what hormone?
ADH
(Anti diuretic hirmone
Causes of DI
Brain tumors
Infection
Cerebral injury
Head trauma
If caused by cerebral injury, symptoms commonly appear ______ days after initial injury and last _______ days
3-5 days, 7-10 days
Clinical manifestations
Polyuria 20L/day
Diluted urine
Polydipsia
Decreased skin turgor
In DI the specific gravity of urine is?
Decreased
(normal 1.010)
CONFIRMATORY DIAGNOSTIC TEST FOR DI
WATER DEPRIVATION TEST
How many hours to withhold fluid intake in water deprivation test?
4-18 hours
Serum ELECTROLYTE in DI
Hypernatremia
Nursing intervention for DI
MAIDS
Monitor I and O
Avoid alcohol
Increase fluids
Daily weight
Skin turgor
Pharmacolofic management for DI
Desmopressin and petressin
(it replaces ADH)