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03.02 Diabetes Insipidus for CCRN Review

03.02 Diabetes Insipidus for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Study Tools For 03.02 Diabetes Insipidus for CCRN Review

Diabetes Insipidus Pathochart (Cheatsheet)

Outline

Nursing Points

General

  1. Diabetes Insipidus
    1. Nephrogenic
      1. ADH (Antidiuretic Hormone) present
      2. Kidneys not responsive
      3. Cause -> increased calcium level
    2. Central
      1. Absence of ADH (Antidiuretic Hormone)
      2. Kidneys release all water -> increased diluted urine output (specific gravity 1.001-1.005)
      3. Increased sodium
      4. Increased osmolarity
      5. Cause
        1. Issues with head
        2. Medications (Dilantin, Lithium)
      6. Complication -> hypovolemia -> shock
      7. Treatment
        1. ADH (Pitressin)
        2. Administer fluids (to improve vascular volume)
        3. Watch urine specific gravity level
        4. Watch EKG for signs of ischemia

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