reduction of sodium
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no more than 0.5 mmol/L every hour!!
high fibrinogen
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high clotting
A client has been diagnosed with SIADH, Which of the following should the nurse
know to question in the client's plan of care?
A. Monitor for possible mental status changes
B. Look for urine spec gravity < 1.003
C. Monitor for serum calcium level
D. Provide IV fluids of 0.9% NS at 100-200 mL/hr for hydration
E. Monitor Weight
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B, C, D
S/Sx DIC
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Clotting: PE, MI, stroke, kidney & liver infarction, etc
Bleeding: blood in urine, stool, IV sites, nose, gums, internal bleeding,
shock
Angiomax reversal
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, NONE
total protein range
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6-8 g/dL
Fibrinogen activity level Range
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150-400
Urine osmolality range
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>300
The nurse knows which of the following extreme conditions can occur if DIC is not
recognized and controlled?
A. Septic shock
B. hemorrhagic shock
C. hypovolemic shock
, D. organ failure
E. death
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B, C, D, E
plasma/serum osmolality in SIADH
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low <275
IV fluids for SIADH
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HYPERTONIC to conserve fluid and replace sodium
3%, not too fast though!
S/Sx of DI
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-polydipsia
-polyuria
-nocturia
-dry skin
-dizziness
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no more than 0.5 mmol/L every hour!!
high fibrinogen
,Give this one a try later!
high clotting
A client has been diagnosed with SIADH, Which of the following should the nurse
know to question in the client's plan of care?
A. Monitor for possible mental status changes
B. Look for urine spec gravity < 1.003
C. Monitor for serum calcium level
D. Provide IV fluids of 0.9% NS at 100-200 mL/hr for hydration
E. Monitor Weight
Give this one a try later!
B, C, D
S/Sx DIC
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Clotting: PE, MI, stroke, kidney & liver infarction, etc
Bleeding: blood in urine, stool, IV sites, nose, gums, internal bleeding,
shock
Angiomax reversal
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, NONE
total protein range
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6-8 g/dL
Fibrinogen activity level Range
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150-400
Urine osmolality range
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>300
The nurse knows which of the following extreme conditions can occur if DIC is not
recognized and controlled?
A. Septic shock
B. hemorrhagic shock
C. hypovolemic shock
, D. organ failure
E. death
Give this one a try later!
B, C, D, E
plasma/serum osmolality in SIADH
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low <275
IV fluids for SIADH
Give this one a try later!
HYPERTONIC to conserve fluid and replace sodium
3%, not too fast though!
S/Sx of DI
Give this one a try later!
-polydipsia
-polyuria
-nocturia
-dry skin
-dizziness
