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Pituitary and adrenal disorders
SIADH
10
Nursing
Undergraduate 1
01/31/2023

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Term
characterized by a water imbalance r/t an increase in DH synthesis, ADH secretion or both
Definition
SIADH
Term
The main symptoms of SIADH initially reflect the effects of dilutional hyponatremia and water retention
Definition
weakness, muscle cramps, anorexia, nausea, diarrhea, irritability headache and weight gain without edema
Term
when measured simultaneously urine osmolality is much higher that that of the
Definition
serum
Term
major characteristics of SIADH
Definition
hyponatremia, hypochloremia, hypouricemia, reduced BUN and creatinine clearance, increased urine sodium and fluid volume without excess edema
Term
acutel ill pts are treated with hypertonic saline give very slowly over a
Definition
4 to 6 hour period
Term
a diuretic can be used only if the serum sodium is at least
Definition
125 meq/l
Term
patients who cannot adhere to fluid restriction with high sodium intake may be given
Definition
demeclocycline or lithium carbonate
Term
a class of drugs that induces water elimination while conserving sodium is the vasopressor receptor antagonist called
Definition
vaptans
Term
vaptans include
Definition
tolvaptan, lixivaptan, satavaptan and conivaptan
Term
for SIADH the health history records the presence of
Definition
anorexia, nausea, vomiting, diarrhea, headache, irritability and muscle cramps and weakness
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