SIADH Flashcards
1
Q
What hormone causes issues in SIADH?
A
ADH –> it is increased causing fluid retention and dilutional hyponatremia
2
Q
causes of SIADH (nonendocrinic origin (5), neurogenic origin (4), medication (4) )
A
- nonendocrine –> lung cancer, PNA, pneumothorax, lung disorders, malignant tumors
- neurogenic –> head injury, brain surgery, brain tumors, infection
- medications –> phenothiazines, tricyclic antidepressants, thiazide diuretics, nicotine
3
Q
SIADH Clinical manifestations- CNS (5)
A
- confusion
- HA
- seizures
- weakness
- coma
4
Q
SIADH Clinical manifestations- pulmonary symptoms ( 4)
A
- increased respirations
- dyspnea
- adventitious lung sounds
- frothy, pink sputum
5
Q
SIADH Clinical manifestations- CV system (2)
A
- hypertension
- edema
6
Q
SIADH Clinical manifestations- GI (5)
A
- anorexia
- Nausea
- vomiting
- muscle cramps
- decreased BS
7
Q
SIADH diagnostic findings (6)
A
- decreased serum sodium
- decreased serum osmolality
- concentrated urine
- increased urine sodium (>20 mEq/L) random sample
- decreased BUN and creatinine: hemodilution
- decreased albumin
8
Q
SIADH lab indicators (5)
A
- decreased sodium
- decreased serum osmolality
- increased urine osmolality
- increased urine sodium
- decreased UO
9
Q
SIADH Management (4)
A
- eliminating underlying cause
- fluid restriction
- diuretics
- monitor I/O, daily weight, electrolytes
