Diabetes Insipidus Case Study (60 min)
You're watching a preview. 300,000+ students are watching the full lesson.
Master
To Master a topic you must score > 80% on the lesson quiz.
Take Quiz
Included In This Lesson
Study Tools For Diabetes Insipidus Case Study (60 min)
Diabetes Insipidus Pathochart (Cheatsheet)
Diabetes Insipidus (Mnemonic)
Diabetes Insipidus Assessment (Picmonic)
NURSING.com students have a 99.25% NCLEX pass rate.
Outline
Mrs. Ford is a 32 year old female who was admitted to the neuro ICU two days ago after a fall, which caused a large epidural hematoma over the left parietal lobe. She was intubated due to a low level of consciousness to protect her airway. An External Ventricular Drain (EVD) was placed to monitor her ICP. She also has an orogastric tube, and a Foley catheter in place
Critical Thinking Check
Bloom's Taxonomy: Application
You just started your shift, what nursing assessments will be your priority at this point?
VIEW ANSWER
Mrs. Ford’s vital signs are as follows:
BP 124/68 MAP 86
HR 84 Temp 98.9
RR 16 (ventilated)
ICP 12
She is not on any sedation. You determine her GCS is 6, she withdraws to pain, but does not open her eyes. Her pupils are equal and reactive bilaterally, 4mm. For this hour she has put out 120 ml of urine that is clear and yellow. She is receiving normal saline at 75 mL/hour as well as tube feeds at 40 mL/hour. Her EVD is open at 15 cmH2O and draining a clear pink fluid, 6 ml this hour.
faq lesson=”true” blooms=”Application” question=”Calculate her cerebral perfusion pressure.”]
- CPP = MAP – ICP
- 86 – 12 = 74 mmHg [/faq]
Critical Thinking Check
Bloom's Taxonomy: Analysis
Given the assessment information that you have, what are you most concerned for with this patient?
VIEW ANSWER
Hourly urine output for Mrs. Ford For the last 3 hours were 180 mL, 240 mL, and 440 mL. The urine is clear and barely pale yellow. Her blood pressure is 108/56, HR is 104. Her ICP is 15.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What could be going on physiologically with Mrs. Ford?
VIEW ANSWER
Critical Thinking Check
Bloom's Taxonomy: Analysis
What further diagnostic testing do you expect the provider to order?
VIEW ANSWER
Lab Values:
Na+ 155 mg/dL
Serum osmo 310 mOsm/kg
Urine SG 1.005
Critical Thinking Check
Bloom's Taxonomy: Analysis
Explain the significance of these lab values considering the patient's diagnosis.
VIEW ANSWER
Critical Thinking Check
Bloom's Taxonomy: Analysis
What medications and or treatment changes do you expect the provider to order?
VIEW ANSWER
The provider orders the following:
Free water flush via OG Tube – 200 mL q4h
Change IVF to D5W at 125 mL/hr
Desmopressin (DDAVP) 2 mcg IV push q 12h
Daily weight
q4h Sodium and Serum Osmolality levels
You set the tube feeding pump to administer the free water and change the IV fluids while waiting for the DDAVP from the pharmacy
Critical Thinking Check
Bloom's Taxonomy: Analysis
What regular monitoring will need to be done for Mrs. Ford during this treatment?
VIEW ANSWER
After 2 days of treatment, misses Fords urine output and urine specific gravity return to Baseline. However, she continues to have a GCS between 4 + 6, and now her left pupil is 8mm and fixed. The nurse notes her respiratory rate is erratic, her ICP is 18, and her heart rate is dropping.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What do you believe could be happening to Mrs. Ford at this time?
VIEW ANSWER
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
- Full lesson outlines
- NCLEX simulator (SIMCLEX)
- 6,500+ practice questions
- 2,000+ lesson videos
- 300+ cheatsheets
200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.
🎉 Special Offer 🎉
Nursing School Doesn't Have To Be So Hard
Go from discouraged and stressed to motivated and passionate
lab and medterm
Concepts Covered:
- Prefixes
- Suffixes
- Fetal Development
- Terminology
- Proteins
- Statistics
- Med Term Basic
- Med Term Whole
- Respiratory Disorders
- Hematologic Disorders
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Communication
- Legal and Ethical Issues
- Immunological Disorders
- Oncology Disorders
- Substance Abuse Disorders
- Renal Disorders
- Disorders of Pancreas
- Pregnancy Risks
- Labor Complications
- Lower GI Disorders
- Cardiac Disorders
- Intraoperative Nursing
- Noninfectious Respiratory Disorder
- Disorders of the Adrenal Gland
- Emergency Care of the Trauma Patient
- Central Nervous System Disorders – Brain
- Disorders of the Posterior Pituitary Gland
- Newborn Care
- Shock
- Circulatory System
- Urinary System
- Upper GI Disorders
- Newborn Complications
- Disorders of the Thyroid & Parathyroid Glands
- Liver & Gallbladder Disorders
- Documentation and Communication
- Neurological Emergencies
- Hematology
- Microbiology
- Basics of Sociology
- Bipolar Disorders
- Medication Administration
- Eating Disorders
- Respiratory Emergencies
- Integumentary Disorders
- Endocrine and Metabolic Disorders
- Infectious Respiratory Disorder
- Postpartum Complications
- Musculoskeletal Disorders
- Musculoskeletal Trauma
- Vascular Disorders
- Gastrointestinal Disorders
- Postpartum Care
- Basics of NCLEX
- Test Taking Strategies
- Preoperative Nursing
- Urinary Disorders
Study Plan Lessons
54 Common Medication Prefixes and Suffixes
Alpha-fetoprotein (AFP) Lab Values
Carboxyhemoglobin Lab Values
Cardiac Terminology
Diagnostic Testing Course Introduction
Diagnostics Terminology
Digestive Terminology
Gamma Glutamyl Transferase (GGT) Lab Values
Growth Hormone (GH) Lab Values
Hematology Oncology & Immunology Terminology
Integumentary (Skin) Terminology
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Medical Terminology Course Introduction
MedTerm Basic Word Structure
MedTerm Body as a Whole
MedTerm Prefixes
MedTerm Suffixes
Metabolic & Endocrine Terminology
Methemoglobin (MHGB) Lab Values
Musculoskeletal Terminology
Myoglobin (MB) Lab Values
Neuro Terminology
Pharmacology Terminology
Prealbumin (PAB) Lab Values
Procedural Terminology
Psychiatry Terminology
Reproductive Terminology
Respiratory Terminology
Sensory Terminology
Urinary Terminology
ABGs Nursing Normal Lab Values
Absolute Neutrophil Count (ANC) Lab Values
Absolute Reticulocyte Count (ARC) Lab Values
Acute Confusion
Acute Kidney Injury Case Study (60 min)
Advocacy & Moral Judgement for Progressive Care Certified Nurse (PCCN)
AIDS Case Study (45 min)
Alanine Aminotransferase (ALT) Lab Values
Albumin Lab Values
Alkaline Phosphatase (ALK PHOS) Lab Values
Alkylating Agents
Alpha-fetoprotein (AFP) Lab Values
Ammonia (NH3) Lab Values
Anion Gap
Anti Tumor Antibiotics
Antimetabolites
Antinuclear Antibody Lab Values
Asthma Concept Map
Basic Statistics
Beta Hydroxy (BHB) Lab Values
Bicarbonate (HCO3) Lab Values
Blood Transfusions (Administration)
Blood Urea Nitrogen (BUN) Lab Values
Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Bowel Obstruction Concept Map
Brain Natriuretic Peptide (BNP) Lab Values
C-Reactive Protein (CRP) Lab Values
Carbon Dioxide (Co2) Lab Values
Carboxyhemoglobin Lab Values
Cardiac (Heart) Enzymes
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cholesterol (Chol) Lab Values
Coagulation Studies (PT, PTT, INR)
Comfort Provisions (Behavioral Response to Procedure) for Certified Perioperative Nurse (CNOR)
Congestive Heart Failure (CHF) Labs
COPD (Chronic Obstructive Pulmonary Disease) Labs
Cortisol Lab Vales
Creatine Phosphokinase (CPK) Lab Values
Creatinine (Cr) Lab Values
Creatinine Clearance Lab Values
Crush Injuries
Cultures
Cushing’s Syndrome Case Study (60 min)
Cyclic Citrullinated Peptide (CCP) Lab Values
D-Dimer (DDI) Lab Values
Diabetes Insipidus Case Study (60 min)
Diagnostics Terminology
Dialysis & Other Renal Points
Direct Bilirubin (Conjugated) Lab Values
Dopamine (Inotropin) Nursing Considerations
Dysrhythmias Labs
Electrolytes Involved in Cardiac (Heart) Conduction
Endocarditis Case Study (45 min)
Enteral & Parenteral Nutrition (Diet, TPN)
Erythroblastosis Fetalis
Erythrocyte Sedimentation Rate (ESR) Lab Values
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
Fluid Volume Overload
Free T4 (Thyroxine) Lab Values
Gamma Glutamyl Transferase (GGT) Lab Values
Glomerular Filtration Rate (GFR)
Glucagon Lab Values
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Growth Hormone (GH) Lab Values
Hematocrit (Hct) Lab Values
Hemoglobin (Hbg) Lab Values
Hemoglobin A1c (HbA1C)
Hepatitis B Virus (HBV) Lab Values
Homocysteine (HCY) Lab Values
How to Write A Nursing Progress Note
Hydatidiform Mole (Molar pregnancy)
Hypertensive Crisis Case Study (45 min)
Hypoglycemia
Infection or Inflammation? The Quick & Dirty on CBCs – Live Tutoring Archive
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Lab Panels
Lab Values Course Introduction
Lactate Dehydrogenase (LDH) Lab Values
Lipase Lab Values
Lithium Lab Values
Liver Function Tests
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
Methemoglobin (MHGB) Lab Values
Multiple Myeloma
Myoglobin (MB) Lab Values
Newborn of HIV+ Mother
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Fluid Volume Deficit
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for Distributive Shock
Nursing Case Study for Hepatitis
Nursing Case Study for Maternal Newborn
Nursing Case Study for Pneumonia
Nursing Process – Assess
Order of Lab Draws
Pediatric Bronchiolitis Labs
Performing Cardiac (Heart) Monitoring
Peritoneal Dialysis (PD)
Phosphorus (PO4) Blood Test Lab Values
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Platelets (PLT) Lab Values
Pneumonia Labs
Prealbumin (PAB) Lab Values
Pregnancy Labs
Preoperative (Preop)Assessment
Procalcitonin (PCT) Lab Values
Procedural Terminology
Prostate Specific Antigen (PSA) Lab Values
Protein (PROT) Lab Values
Protein in Urine Lab Values
Red Blood Cell (RBC) Lab Values
Red Cell Distribution Width (RDW) Lab Values
Renal (Kidney) Failure Labs
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Sepsis for Certified Emergency Nursing (CEN)
Sepsis Labs
Septic Shock (Sepsis) Case Study (45 min)
Shorthand Lab Values
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
Total Bilirubin (T. Billi) Lab Values
Total Iron Binding Capacity (TIBC) Lab Values
Triiodothyronine (T3) Lab Values
Troponin I (cTNL) Lab Values
Urinalysis (UA)
Urine Culture and Sensitivity Lab Values
Vitamin B12 Lab Values
Vitamin D Lab Values
White Blood Cell (WBC) Lab Values