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Notes
Topic/Objective: Endocrine
Name: Ben
Disease: SIADH
Page(s):
Disease Process/Overview:
Questions:
Notes:
Etiology
Manifestations
1. Recent head trauma, stroke, CVA (anything that can affect the pituitary
2. Nausea
3. Vomiting
4. Anorexic
5. Lethargy
6. Headache
7. Hostile affect
8. Disoriented
9. Bounding pulse
10. Hypothermic (problem with release of ADH)
Diagnostics
Collaborative care
Nursing care
1.
2.
3.
4.
5.
Restrict fluid
500-1000ml/day fluid restriction
Monitor I&Os
Daily weights
Monitor for fluid overload as it can lead to pulmonary edema or heart
failure
6. Keep head of bed flat (encourage venous return)
7. Diuretics (furosemide) (also helps increase sodium levels)
8. 3% saline (increase salt content)