Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Flashcards Preview

Endocrine System > Syndrome of Inappropriate Antidiuretic Hormone (SIADH) > Flashcards

Flashcards in Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Deck (12)
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1

What is SIADH

excess release of ADH from posterior pituitary gland, resulting in reabsorption of water NOT sodium by kidneys

2

What causes SIADH

-brain tumor, head injury
-meningitis
-medications

3

Major S/S of SIADH

-small amounts if concentrated urine
-fluid volume excess

4

S/S of fluid volume excess

-tachycardia
-hypertension
-crackles
-weight gain
-JVD

5

Other S/S of SIADH

-headache
-weakness
-muscle cramping
-confusion

6

Pneumonic to remember what SIADH is

With SIADH you are super inflated with excess fluid

7

Urine lab test that indicate SIADH

-Increase urine specific gravity
-Increased osmolality
-Increased sodium

8

Blood lab values that indicate SIADH

-decreased osmolality
-decreased diulutional hyponatremia (sodium)

9

Nursing care for a patient with SIADH

-Monitor I&O
-Weigh pt daily
-Monitor fluid volume overload, pulmonary edema (fluid in lungs)

10

What should be restricted for a patient with SIADH

fluids should be restricted, replace sodium as ordered

11

What staus should be checked for a patient with SIADH

monitor neurologic status

12

What precaution should pt with SIADH have

seizure precaution due to hyponatremia