SIADH & DI Flashcards
What is ADH?
Anti-Diuretic Hormone
What has too much ADH?
Syndrome of inappropriate Anti-diuretic Hormone Secretion (SIADH)
What conditions are most commonly associated w/ the development of SIADH?
Brain injuries and small cell lung cancer
What is the primary electrolyte imbalance in SIADH?
Decrease sodium
Fluid volume in SIADH is decreased or increased?
Decreased
What are the major symptoms that are associated w/ SIADH?
Decrease concentrated urine output and hyponatremia (holding too much water)
How do you manage SIADH?
Restrict fluids, strict I/O, daily weights, and demeclocycline
What has too little ADH?
Diabetes insipidus (DI)
What conditions can lead to development of DI?
Neurological conditions like brain trauma
What is the primary fluid imbalance w/ DI?
Too much urine output and excess sodium
What are the 2 major characterizations of DI?
Hypernatremia and losing large amounts of very diluted urine
What other problem can occur from DI?
Dehyration
How do you manage DI?
Vasopressin, fluid replacement and monitor for dehydration
