Diabetes insipidus and syndrome of inappropriate antidiuretic hormone

MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS��Diabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone
Learning Objective
On completion of this lecture, the students will be able to:
Compare diabetes insipidus and SIADH: their causes, clinical manifestations, management, and nursing interventions.

1. MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS Diabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone Jamilah Saad Alqahtani Nurse Lecturer, MSN, TOT, OR Nurse Specialist, RGN, BSN

2. Diabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone Learning Objective On completion of this lecture, the students will be able to: Compare diabetes insipidus and SIADH: their causes, clinical manifestations, management, and nursing interventions.

3. Diabetes Insipidus (DI) A disorder of the posterior pituitary gland characterized by a deficiency of antidiuretic hormone (ADH) or vasopressin Causes: Head trauma Brain tumor CNS infections Manifestations: Polyuria: very dilute, water-like urine Polydipsia Dehydration: poor skin turgor, dry mucous membrane Weight loss 6/13/2020 MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS Diabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone 3

4. Diabetes Insipidus (DI) Medical Management: ADH replacement Desmopressin (DDAVP), intranasal Fluid replacement Daily weight monitoring Nursing Management (patient education): Teach patient and family about follow-up care Teach correct drug administration Teach to carry medication at all times 6/13/2020 MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS Diabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone 4

5. Syndrome of Inappropriate Antidiuretic Hormone (SIADH) 6/13/2020 unit4 anci nurs210 5

6. Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Medical Management: Fluid restriction Diuretics – give furosemide (Lasix ) Nursing management: Intake and Output (I&O) monitoring Daily weight monitoring 6/13/2020 MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS Diabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone 6