SIADH Flashcards
Syndrome of inappropriate ADH is increased in what hormone?
ADH
Causes of SIADH
HMM
Head injury
Medications(TCA, Diuretics)
Malignant tumor(pituitary gland)
Clinical manifestations
CHEFD
Confusion
Headache
Electrolyte imbalance
FVE(weight gain, edema)
Disorientation
Nursing interventions for SIADH
MMMMORAP
Monitor vital signs and cardiac and neurological
Monitor intake and output
Monitor fluid and electrolyte balance
Monitor IV fluids carefully
Obtain weight daily
Restrict fluid intake as prescribed
Administer IV fluids
Provide a safe environment
Pharmacologic management for SIADH
Democlocyline and furosemide
Democlocyline mechnism of action
Inhibits water reabsorption and produces water diuresis.
Contraindication of democlocyline
Calcium containing foods and milk /antacids
what will you WOF when the patient is taking furosemide
Decreases K
why you need to administer furosemide slowly?
it can cause transient hearing loss