03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
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SIADH Pathochart (Cheatsheet)
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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
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Concepts Covered:
- Integumentary Important Points
- Integumentary Disorders
- Oncology Disorders
- Tissues and Glands
- Immunological Disorders
- Terminology
- Integumentary Disorders
- Respiratory System
- Urinary System
- Respiratory Disorders
- Noninfectious Respiratory Disorder
- Renal Disorders
- Eating Disorders
- Shock
- Disorders of Pancreas
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Respiratory
- Endocrine and Metabolic Disorders
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03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.04 DKA vs HHNK for CCRN Review
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
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