Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Flashcards
1
Q
What is SIADH
A
excess release of ADH from posterior pituitary gland, resulting in reabsorption of water NOT sodium by kidneys
2
Q
What causes SIADH
A
- brain tumor, head injury
- meningitis
- medications
3
Q
Major S/S of SIADH
A
- small amounts if concentrated urine
- fluid volume excess
4
Q
S/S of fluid volume excess
A
- tachycardia
- hypertension
- crackles
- weight gain
- JVD
5
Q
Other S/S of SIADH
A
- headache
- weakness
- muscle cramping
- confusion
6
Q
Pneumonic to remember what SIADH is
A
With SIADH you are super inflated with excess fluid
7
Q
Urine lab test that indicate SIADH
A
- Increase urine specific gravity
- Increased osmolality
- Increased sodium
8
Q
Blood lab values that indicate SIADH
A
- decreased osmolality
- decreased diulutional hyponatremia (sodium)
9
Q
Nursing care for a patient with SIADH
A
- Monitor I&O
- Weigh pt daily
- Monitor fluid volume overload, pulmonary edema (fluid in lungs)
10
Q
What should be restricted for a patient with SIADH
A
fluids should be restricted, replace sodium as ordered
11
Q
What staus should be checked for a patient with SIADH
A
monitor neurologic status
12
Q
What precaution should pt with SIADH have
A
seizure precaution due to hyponatremia
