DIABETES INSIPIDUS Flashcards by Joy Garcia

Q

hyposecretion of ADH by the posteriorpituitary gland caused by stroke, trauma, or surgery, or it may be idiopathic

A

diabetes insipidus

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Q

kidney tubules fail to reabsorb water

A

diabetes insipidus

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Q

in this type of DI there is decreased ADH production

A

central diabetes insipidus

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Q

in this type of DI, ADH production is adequate, but the kidneys do not respond appropriately to the ADH

A

nephrogenic diabetes insipidus

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Q

assessment of patients with diabetes insipidus

A

excretion of large amounts of dilute urine

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Q

assessment of patients with diabetes insipidus

A

polydipsia

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Q

assessment of patients with diabetes insipidus

A

dehydration (decreased skin turgor and dry mucous membranes)

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Q

assessment of patients with diabetes insipidus

A

inability to concentrate urine

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Q

assessment of patients with diabetes insipidus

A

low urinary specific gravity

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Q

assessment of patients with diabetes insipidus

A

fatigue

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Q

assessment of patients with diabetes insipidus

A

muscle pain and weakness

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Q

assessment of patients with diabetes insipidus

A

headache

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Q

assessment of patients with diabetes insipidus

A

postural hypotension that may progress to vascular collapse without rehydration

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Q

assessment of patients with diabetes insipidus

A

tachycardia

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Q

nursing interventions for DI

A

monitor vital signs and neurological and cardiovascular status

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Q

nursing interventions for DI

A

provide a safe environment, particularly for the client with postural hypotension

Q

nursing interventions for DI

A

monitor electrolyte values and for signs of dehydration

Q

nursing interventions for DI

A

maintain client intake of adequate fluids; IV hypotonic saline may be prescribed to replace urinary losses

Q

nursing interventions for DI

A

monitor intake and output, weight, serum osmolality, and specific gravity of urine for excessive urinary output, weight loss, and low urinary specific gravity

Q

nursing interventions for DI

A

instruct the client to avoid foods or liquids that produce diuresis

Q

nursing interventions for DI

A

vasopressin or desmopressin acetate may be prescribed; these are used when the ADH deficiency is severe or chronic

Q

nursing interventions for DI

A

instruct the client in the administration of medications as prescribed; desmopressin acetate may be administered by subcutaneous injection, intravenously, intranasally, or orally; watch for signs of water intoxication, indicating overtreatment