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DI
Exam 2
30
Nursing
Undergraduate 4
02/11/2019

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Cards

Term
Central causes
Definition
Damage to the pit gland or hypothalamus
Term
Nephrogenic causes
Definition
Defect in kidney tubules, genetic, or drug induced kidney damage
Term
Which drugs can increase chances of DI
Definition
Lithium
Demeclocycline
Term
Gestational causes
Definition
Placenta makes enzyme that destroys ADH,
Term
General patho
Definition
Kidneys unable to respond to ADH, or a lack of ADH leads to large volumes of dilute urine
Term
s/s
Definition
Polyuria
Polydipsia
Nocturia
Muscle weakness
Bed wetting in children
Dry skin (s/s of dehydration
Dizziness
Fatigue
Nausea
Term
Urine osmolarity
Definition
<200-300

/below 400. different on two different sources
Term
Serum osmolarity
Definition
>295
Term
SpecGravity
Definition
<1.005
Term
HR?
Definition
increased
Term
BP?
Definition
Decreased
Term
Urine NA
Definition
decreased (normal?????)
Term
Urine output
Definition
>250 ml per 2 hours
Term
HR?
Definition
Increased
Term
BP?
Definition
Hypotensive
Term
Fluid status?
Definition
Dehydration
Term
Neuro sx?
Definition
Seizure
Coma
Term
i/o expected:
Definition
I: 1000 O: 3000
Term
i/o treatment working:
Definition
I: 1000 O: 1000
Term
i/o treatment NOT working:
Definition
I:1000 O: 3000
Term
Fluid type?
Definition
Hypotonic
Term
Medications?
Definition
DDAVD (synthetic ADH)
Diuretic (HCTZ) will actually reduce urine output by stimulating aldosterone to work in tubules
Oral fluid replacement if possible!
Term
DDAVP oral dosage
Definition
0.1/0.2 mg tablets

Max: 1.2 mg daily
Term
DDAVP IV
Definition
4mcg

Normal: 1-2mcg BID
Term
DDAVP SL
Definition
25 mcg
Term
DDAVP IN
Definition
10 mcg/spray
Term
Foods/drinks to stay away from?
Definition
Caffiene! Natural diuretics such as watermelon
Term
Nursing care
Definition
Daily wt
LOC monitoring (seizure risk)
Assess: urine (pale, is it improving?) thirst, hydration status (mucous membranes, skin turgor)
Strict I/O!
Any hx of trauma, infection, head injury, chronic diseases (KD?)
Term
Other dx measures?
Definition
CT/MRI to rule out trauma, injury, tumor.
Ultrasound, kidney labs to rule out structural damage/inflammation
Water deprivation test: stop drinking fluids and check ADH (rarely performed)
Term
Extreme version:
Definition
Extreme dehydration with rapid water loss
Confusion, seizures, coma
Changes in LOC, heart rhythm
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