Diabetes Insipidus
A deficiency in this hormone causes diabetes insipidus
What is Antidiuretic Hormone?
The most common cause of SIADH
What is small cell lung Ca?
DKA is commonly found in which population of patients?
What are type 1 diabetics?
Patient that may go into HHS
Type 2 diabetic older adults and those with severe dehydration
Patients with this condition are prone to weight gain and intolerance to cold
What is hypothyroidism?
The most common cause of diabetes insipidus in hospitalized patients.
What is head trauma?
The electrolyte disturbance that causes the potentially severe symptoms seen in SIADH
Hyponatremia
Three criteria seen when DKA is diagnosed
Hyperglycemia, ketosis and acidosis
How high is the glucose with a patient with HHS?
Great than 600mg/dl
Patients with this condition may experience nervousness, palpitations or cardiac dysrhythmias
Hyperthyroidism
Test that can be done to confirm the diagnosis of diabetes insipidus.
What is the water or fluid deprivation test?
The color of urine excreted by a patient with SIADH
Dark and concentrated with oliguria
Common cause of DKA
Infection
The most life-threatening condition seen when patients present with HHS
Severe dehydration
Medication used to treat hyperthyroidism
Methimizole
Medication commonly used to treat central diabetes insipidus.
What is desmopressin?
The patient will be placed on what restriction when hyponatremic
Fluid restriciton
A clinical manifestation specific to DKA
Acetone or fruity odor to breath
Patients with HHS present with what kind of mental status?
Stuporous or in a coma
A life threatening condition where the patient may present with systolic hypertension, tachycardia and a high fever
Thyroid storm
Most important thing to do when treating diabetes insipidus.
What is identify and treat the underlying cause?
Common medication prescribed for patient with SIADH
Tolvaptan (vasopressin antagonist)
The electrolyte critical to consider when administering insulin to a patient with DKA
Potassium
Volume resuscitation
Most important postoperative intervention for patient with thyroidectomy
Monitor respiratory status closely