DI
What type of disorder (system) is DI?
What is a metabolic disorder
The pitutiary gland releases too much of what hormone in SIADH?
What is ADH
Hyponatremia is accompanied by what lab values?
What is a sodium <135
Hypercalcemia is classified as a lab value of what?
What is a calcium level of >10.0
What is a normal urine output (mL) per hour?
What is 30mL/hr
DI patients have very diluted urine. What would their specific gravity be? (High or low)
What is a low specific gravity
What are two risk factors to develop SIADH?
What is certain meds (name them), excessive stress, COPD, TB, PNA, Lupus, CVA, etc
With hypokalemia, what is a food that we want to encourage oral intake of?
What is bananas, spinach and/or fish
What is one sign or symptom of a patient that has hypernatremia?
What is dry mucous membranes, low U.O., restlessness, agitation, confusion
A patient with DI would excrete how many L of urine per day?
5-20L/day
What is something we DON'T want to limit for a patient with DI?
What is we don't want to limit their PO fluid intake
What type of IV fluids would a patient with SIADH be ordered?
What is IV hypertonic saline (3-5%)
What is the main sign and symptom of a patient with hypocalcemia?
What is the Trousseau & Chvostek sign
What is one main nursing intervention for a patient with hypermagesemia?
What is to administer diuretics as ordered, decrease PO mag, monitor I&Os
What is 800-1000mL/day
What is the name of the medication that is administered to a patient with DI?
What is desmopressin
What are two main clinical manisfestations with a patient with SIADH?
What is: AMS, nausea/vomiting, tremors, seizures, irritability
Hypomagnesemia has multiple conditions that can cause it. What is one?
What is alcoholism, diarrhea, hypercalcemia, starvation, prolonged malnutrition
Hypercalcemia has a few major causes. What is one of them?
What is immobilization, excessive intake of supp. Ca+, increased Vit D & parathyroid levels
A patient with DI drinks a lot of fluids but is still dehydrated. What is their daily L intake?
What is 4-20L/day
What main electrolyte imbalance is found in DI?
What is hypernatremia
What main electrolyte imbalance is found in SIADH?
What is hyponatremia
What are the severe signs and symptoms of hyponatremia (4)?
What is the name of the medication that is administered with a pt who has hyperkalemia?
What is Kayexalate (sodium polystyrene sulfonate)
How much % of water makes up an older adults body?
What is 45-55%