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Cornell

Notes

Topic/Objective: Endocrine

Name: Ben

Disease: SIADH

Page(s):

Disease Process/Overview:

Questions:

Notes:

Etiology

1. Occurs when ADH is released even though plasma osmolarity is


decreased
2. Water is retained, resulting in hyponatremia and fluid overload
3. GFR inhibits renin and aldosterone causing body to attempt to filter out
sodium, making hyponatremia worse than originally

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)

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