Diabetes insipidus Flashcards
anti diuretic hormone is produced by the
hypothalamus gland
anti diuretic hormone allows for decreased _______ output & increase in __________
- urine output
- water absorption in the kidneys
anti diuretic hormone is stored in the
posterior pituitary gland
Diabetes is caused by an
deficiency of or decreased response to ADH within the body
two kinds of Diabetes insipidus
neurogenic (central)
nephrogenic
diabetes insipidus prevents people from
appropriately concentrating urine & reabsorbing water, especially problematic in times of water restriction or unavailability
Neurogenic or central (Diabetes insipudus)
occurs when body is unable to or is deficient in the production or release of ADH
Nephrogenic Diabetes insipidus
occurs when kidneys do not respond appropriately to the presence of ADH
Two forms of Diabetes insipidus are similar in that both result in
exaggerated fluid intake & urine output and are both ADH disorders
Differences: Neurogenic (central) DI
- may be due to trauma
- may be temporary (ex head injury or surgery)
- ability to concentrate some urine
Differences: Nephorgenic DI
- may be genetic or accquired etiology
- effects are permanent and may include hypokalemia or hypercalcemia
Cheif mnfts of diabetes insipidus
- excessive thirst
- large urine output
potential complications of diabetes insipidus
- electrolyte imbalances
- dehydration
- these comlications may cause muscle weakness, hypotension, hypternatremia, tachycardia
diagnosing DI
- thorough 24 hr documentation of urine output recorded
- doctors must disqualify kidney disease & glucose as potential causes of excessive urine output
- ADH levels along with plasma & urine osmolartiy will be tested before & after fluid deprivation
- pharmacological tests may b administered via introdoucing ADH, nephrogenic Di wil not respond to theses drugs as ADH receptors are what is damaged
- if neurogeinc MRI of pituitary hypothalamic region
Treatment for neurogenic
- manage disorder by drinking water when thirsty and may receive pharmacological ADH supplements in order to recftify deficeney
- respond to thiazide diuretics (aids body in sodium & water reabsorption in kidneys)