(^346) Medical-Surgical Nursing Demystified
TREATMENT
- Administer replacement ADH hormone such as desmopressin to return nor-
mal urination. - Administer a diuretic such as hyrdrochlorothiazide to decrease urination.
- Place the patient on a low-salt diet to reduce urine production in the kidneys.
- Increase fluid intake until urination returns to normal.
NURSING DIAGNOSES
- Risk for impaired urinary elimination
- Impaired oral mucous membrane related to inadequate oral secretions
- Deficient fluid volume related to excessive fluid loss or inadequate fluid intake
NURSING INTERVENTION
- Maintain fluid and electrolyte balance.
- Monitor intake and output.
- Weigh the patient each day using the same scale, at the same time of day,
wearing similar clothing. - Explain to the patient:
- Medication must be taken every day.
- Wear a medical alert necklace/bracelet to alert health care providers that
you have diabetes insipidus.
Syndrome of Inappropriate Anti-
diuretic Hormone Secretion (SIADH)
WHAT WENT WRONG?
SIADH is caused by too much ADH being secreted by the posterior pituitary
gland. ADH is responsible for controlling the amount of water reabsorbed by the
kidney; it prevents the loss of too much fluid. When too much water is detected,
ADH production or secretion is halted. SIADH may be caused by damage to the8