SIADH & DI Flashcards

1
Q

The following flashcards are about SIADH from the picture taken in class

A
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1
Q

What is SIADH ?

A

too much Anti-diuretic hormone

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2
Q

what is the cause for SIADH?

A

cancer, neuro disorders

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3
Q

what are the clinical manifestation for patients who have SIADH?

urine?
weight?
sodium?

A

decreased urine output
increase weight
hyponatremia
fatigued
shortness of breath
polydypsia

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4
Q

how do we diagnose SIADH?(3)

A

low sodium
low osmoliaty
increase urine specific gravity

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5
Q

what is the treatment for SIADH?

A

fluid restriction (800-1000ml)
diuretics

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6
Q

how much is their fluid restriction per day ?

and how are we going to restrict their fluid ?

A

800-1000ml per day

2/3am & 1/3pm

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7
Q

what are the diuretics we are going to give these patients ? (2)

A

lasix
hypertonic saline

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8
Q

what are the special precautions when giving lasix?

what are the special precautions when giving hypertonic saline ?

to patients with SIADH?

A

given when sodium is within range

given when sodium is below average

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9
Q

notes
nursing care

  • input and output
  • daily weight
  • oral care
  • heart & lungs assessment
  • neuro checks
  • seizure precautions
  • HOB 10-15, Rom, Turn PT
A
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10
Q

the following flashcards are going to be about diabetes insupidus

A
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11
Q

what is DI?

A

too little anti-diuretic hormone

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12
Q

what can be the causes for why patients end up developing diabetes insipidus? (5)

A

not making enough ADH
kidney not responding to ADH
water intoxication
increased ICP
increased urine output

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13
Q

what is the clinical manifestation for these patients ?

specific gravity level?
sodium level?
basic feelings?

A

below 1.005
hypernatremia
thirsty, hungry

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14
Q

what is the diagnostic study for DI?

A

specific gravity less than 1.005

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15
Q

what is the treatment for patients with DI? (2)

A

fluid and hormone replacement
thiazide diuretic

16
Q

what is the diet these patients with DI are on?

A

low sodium diet

17
Q

notes
interventions
- monitor I&O
- Daily weights
- Check vitals
- neuro assessments
- seizure precautions
- electrolyte imbalances

A
18
Q

additional information
according to amar notes

treatments for diabetes insidious includes using vasopressin, desk-pressing and chlorporamoide ( this increases ADH)

treatment for SIADH includes
NS, demeclocycline, fluid restriction

A