03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
Included In This Lesson
Study Tools For 03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
Outline
Nursing Points
General
- SIADH (Syndrome of Inappropriate Antidiuretic Hormone)
- Elevated ADH (Antidiuretic Hormone)
- Antidiuretic hormone (ADH) make kidneys retain fluid
- Decreased sodium levels due to dilution
- Decreased osmolarity (normal 275-295) due to dilution
- Quick formula = sodium level x 2
- Decreased urine output
- Causes (that increase ADH)
- Oat cell carcinoma -> tumor in lung apices that causes ADH
- Viral pneumonia (hypoxia related effects on ADH levels)
- Issues with head
- Increased osmolality
- Anesthesia & analgesics
- Stress
- Complication -> seizure (fluid shifting into cells causing edema in brain)
- Treatment
- Restrict fluids
- Hypertonic solutions -> 3 percent sodium chloride (decrease cerebral edema by moving fluid out of cells)
- Run slow over a few hours
Monitor for CHF - Treat cause
CCRN Review
Concepts Covered:
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Circulatory System
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Immunological Disorders
- Emergency Care of the Neurological Patient
- Microbiology
- Emergency Care of the Trauma Patient
- Medication Administration
- Respiratory Emergencies