Which type is it?
High calcium levels, low potassium, and a gene mutation have interfered with water reabsorption at the nephron, even though ADH is present.
What is Nephrogenic Diabetes Insipidus?
A patient who was admitted to the hospital yesterday has been voiding large amounts of very diluted urine. Is this a sign of DI?
Desmopressin mimics the action of this natural hormone, which helps the kidneys retain water.
What is vasopressin/ADH?
Nurses should do this with patients with diabetes insipidus in order to prevent dehydration.
What is ensure adequate fluid intake?
This type is caused by a lack of ADH, often due to brain surgery, head trauma, or a gene or autoimmune disorder affecting the hypothalamus or pituitary gland.
What is Central Diabetes Insipidus?
This extreme thirst, often for cold water, is a hallmark symptom that accompanies fluid loss in DI.
What is polydipsia/excessive thirst?
Thiazide diuretics help reduce urine output in nephrogenic diabetes insipidus by doing this to the kidney’s blood-filtering rate.
What is reducing it?
Nurses should regularly check these blood components and replace them as needed as they are greatly affected by hyper/hypovolemia.
What are electrolyte levels?
This form of DI is triggered during pregnancy due to a placental enzyme breaking down ADH too quickly.
What is Gestational Diabetes Insipidus?
This classic symptom of DI refers to the excretion of large volumes of very dilute urine—sometimes up to 20 liters a day.
What is polyuria?
This synthetic hormone replacement helps reduce thirst and urine output in people with central diabetes insipidus.
What is desmopressin?
A key daily nursing task (usually performed at the start of each day) that helps assess fluid balance and detect early signs of dehydration or overhydration.
What is taking a daily weight?
A patient with chronic kidney disease and a history of lithium use for bipolar disorder develops excessive urination. Their kidneys aren’t responding to ADH.
What is Nephrogenic Diabetes Insipidus?
This general term describes the state of reduced fluid volume in the body, often seen in DI due to high urine output.
What is dehydration?
This type of diuretic can actually reduce urine production in nephrogenic diabetes insipidus.
What is a thiazide diuretic?
This lab urine test/value determines the concentration of urine and helps track hydration status in patients with diabetes insipidus.
What is urine specific gravity?
Due to a problem with thirst regulation, excessive water intake suppresses ADH, leading to frequent urination.
What is Dipsogenic Diabetes Insipidus?
This dangerous electrolyte imbalance can result from severe dehydration in unmanaged DI, leading to neurological symptoms like confusion or seizures.
What is hypernatremia?
When taken with thiazide diuretics, these common pain relievers can help further reduce urine volume in diabetes insipidus patients.
What are NSAIDs?
These are three classic signs of fluid volume deficit (dehydration) that nurses should watch for in a patient with diabetes insipidus.
What are tachycardia, hypotension, and poor skin turgor (or dry mucous membranes)?