NSG 430 TOPIC 2
• HHS is associated w more severe symptoms: neurological
• HHS is associated w more severe neurological symptoms due to : in-creased
serum osmolarity (>350)
• what are some neuro s/s seen in HHS?: -somnolence
-coma
-seizures
-hemiparesis
-aphasia
• those tx w fluid resuscitation will need to be monitored for fluid overloadif they have
or issues: cardiac or renal
• SIADH: syndrome of innappropriate antidiuretic hormone; TOO MUCH ADH
• in SIADH, ADH is released despite : norm/low osmolarity
• ADH is characterized by: -fluid retention
-dilutional hyponatremia
-concentrated urine
• dilutional hyponatremia occurs in SIADH when : pt is peeing out
sodiumbut not water; body has too much water and not enough sodium
• clinical manifestations of SIADH: -decreased U/O
-increased weight
-thirst (initially)
-dyspnea on exertion
-fatigue
• what are some assessments the nurse may conduct on a pt w SIADH?: -I/O
-daily weights
-assess breath sounds
• SIADH pt will have serum osmolarity: decreased
• SIADH will have serum sodium: decreased
• SIADH pt will have
, • SIADH is dx based on
gravity (>1.025)
urine specific gravity: increased
+ : low serum sodium (<135) + high specific
• what can cause SIADH?: -brain tumor
-CNS disorders
-drug therapy
-micellaneous: hypothyroid, COPD, HIV, adrenal insuffiency
• SIADH typically caused by or : brain tumors or CNS disorders
• which elyte imbalance associated w SIADH?: hyponatremia
• interprofessional care for SIADH: -monitor u/o + specific gravity
-daily weights, i/o
-monitor for neuro issues
-oral care
-fluid restriction
-loop diuretics
• due to SIADH being associated w hyponatremia, you will want to monitorthe pt for :
BRAIN ISSUES: seizures, HA, vomiting, decreased neuro function
• what type of restriction may be placed on SIADH pt?: fluid restriction
• althought pt w SIADH typically on fluid restrictions, if they ARE recievingfluids, they
will be given : hypertonic solutions
• what type of diuretic may be used for SIADH pt?: loop diuretic
• DI is a deficiency or : ADH deficiency (hypothalamus) or decreasedrenal
response to ADH (kidneys)
• what can cause DI r/t ADH deficiency: -tumor
-head injury
-surgery
-CNS issues
• what can cause DI r/t decrease renal response to ADH?: -lithium
-renal damage/disease
• HHS is associated w more severe symptoms: neurological
• HHS is associated w more severe neurological symptoms due to : in-creased
serum osmolarity (>350)
• what are some neuro s/s seen in HHS?: -somnolence
-coma
-seizures
-hemiparesis
-aphasia
• those tx w fluid resuscitation will need to be monitored for fluid overloadif they have
or issues: cardiac or renal
• SIADH: syndrome of innappropriate antidiuretic hormone; TOO MUCH ADH
• in SIADH, ADH is released despite : norm/low osmolarity
• ADH is characterized by: -fluid retention
-dilutional hyponatremia
-concentrated urine
• dilutional hyponatremia occurs in SIADH when : pt is peeing out
sodiumbut not water; body has too much water and not enough sodium
• clinical manifestations of SIADH: -decreased U/O
-increased weight
-thirst (initially)
-dyspnea on exertion
-fatigue
• what are some assessments the nurse may conduct on a pt w SIADH?: -I/O
-daily weights
-assess breath sounds
• SIADH pt will have serum osmolarity: decreased
• SIADH will have serum sodium: decreased
• SIADH pt will have
, • SIADH is dx based on
gravity (>1.025)
urine specific gravity: increased
+ : low serum sodium (<135) + high specific
• what can cause SIADH?: -brain tumor
-CNS disorders
-drug therapy
-micellaneous: hypothyroid, COPD, HIV, adrenal insuffiency
• SIADH typically caused by or : brain tumors or CNS disorders
• which elyte imbalance associated w SIADH?: hyponatremia
• interprofessional care for SIADH: -monitor u/o + specific gravity
-daily weights, i/o
-monitor for neuro issues
-oral care
-fluid restriction
-loop diuretics
• due to SIADH being associated w hyponatremia, you will want to monitorthe pt for :
BRAIN ISSUES: seizures, HA, vomiting, decreased neuro function
• what type of restriction may be placed on SIADH pt?: fluid restriction
• althought pt w SIADH typically on fluid restrictions, if they ARE recievingfluids, they
will be given : hypertonic solutions
• what type of diuretic may be used for SIADH pt?: loop diuretic
• DI is a deficiency or : ADH deficiency (hypothalamus) or decreasedrenal
response to ADH (kidneys)
• what can cause DI r/t ADH deficiency: -tumor
-head injury
-surgery
-CNS issues
• what can cause DI r/t decrease renal response to ADH?: -lithium
-renal damage/disease
