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SIADH
Exam 2
21
Nursing
Undergraduate 4
02/09/2019

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Cards

Term
General pathos of SIADH
Definition
Increased production of ADH aka vasopressin, which causes fluid retention and reduced urine output
Term
Risk factors for SIADH
Definition
*MAOIs, NSAIDs, SSRI’s, Vasopressin
*TB, PNA, emphysema, Asthma (hypoxia/hypercapnia increases risk)
*Cancer, malignancies, tumors
*HIV/AIDs, Gillian Barre’s
*Stroke, trauma, hemorrhage, psychosis
*Genetic link
Term
S/s
Definition
*Extreme thirst
*Irritability, restless (d/t decreased na)
*Stupor, coma, seizures, shock
*Tremors, cramps
*Personality changes: Combativeness, hallucinations, confusion
*Depressed mood, memory impairment
Term
Urine osmolarity
Definition
> 900
Term
Serum osmolarity
Definition
< 275
Term
Na
Definition
< 135
Term
Spec Gravity
Definition
> 1.030
Term
HR/BP
Definition
Elevated d/t compensation. BP may remain normal
Term
Urine output
Definition
Less than 200 ml per 2 hours
Term
Fluid status
Definition
No dehydration
Term
Neuro s/s
Definition
Confusion, delirium, coma with low na
Term
Urine na
Definition
Below 25-30
Term
Notify provider if urine output:
Definition
<50 ml/hour
Term
Fluid restrictions = ? per day
Definition
About 1000 ml per day
Term
Pt activity?
Definition
Bedrest for safety
Term
How quickly can you increase Na per hour?
Definition
0.5/hour

Not very fast!
Term
i/o expected:
Definition
2000 in/500 out
Term
i/o indicating med is NOT working
Definition
2000 in/500 out
Term
i/o indicating med IS working
Definition
2000 in/2000 out
Term
Normal urine osmolarity
Definition
500-800
Term
Normal urine Na/24 hours
Definition
40-220 according to google
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