SIADH Flashcards
1
Q
What is SIADH (syndrome of inappropriate anti-diuretic hormone)?
A
Excessive release of ADH, causing body to retain fluid
—>
sodium becomes diluted causing confusion, seizures, coma, death
2
Q
What are some causes of SIADH?
A
Small cell lung cancer
Head Injuries
ICP
HIV
COPD
Adrenal insufficiency
Mechanical ventilation
Drugs
3
Q
What are the signs and symptoms of SIADH?
A
Hyponatremia
Dyspnea d/t pulmonary edema
Increased osmolality in urine
Decreased osmolality in blood
Bounding pulses
Crackles
HTN
4
Q
What is the treatment for SIADH?
A
Vasopressin antagonist (tolvaptan, conivaptan)
Loop diuretic (furosemide)
Hypertonic sodium chloride
