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ADH disorders (Diabetes Insipidus = :arrow_down: ADH getting rid of ALL…
ADH disorders
Diabetes Insipidus = :arrow_down: ADH
getting rid of ALL the water
symptoms
:arrow_up: thirst
:arrow_up: urine output
anorexia, weight loss
weakness
constipation
chronic, severe dehydration
Causes
brain tumor
encephalitis
head trauma
meningitis
Diagnosis
urinary osmolality below plasma level
:arrow_up: serum sodium
Low urine specific gravity: normal is 1.000 to 1.030
Nursing considerations
record I's and O's
monitor urine specific gravity, skin condition, weight, BP, pulse and temperature
administer vasopressin
SIADH = :arrow_up: ADH
so holding onto ALL the water
Symptoms
anorexia, N/V
lethargy
headaches
change in LOC
#
:arrow_down: deep tendon reflexes
:arrow_up: circulating blood volume
:arrow_down: urinary output
Nursing Considerations
restrict water intake to 500-600 ml/day
administer diuretics
hypertonic saline (pushes water into cells)
weight daily
I&O
monitor serum Na levels
assess LOC
Diagnosis
serum sodium :arrow_down:
plasma osmolality :arrow_down:
:arrow_up: urine specific gravity
Causes
small cell carcinoma of lung
pneumonia
positive pressure ventilation
brain tumors
head trauma
stroke
meningitis
encephalitis