adh
increased
causes
-cancer therapy
-infections
-medications
-stroke
sodium
low
gi disturbances
-anorexia
-nausea
-vomiting
loc
decreased
urine output
decreased
urine osmolality
increased
sticky thick urine
serum osmolality
decreased
plasma (blood) volume
increased
urine specific gravity
increased
weight
increased without edema
saline
hypertonic 3% slowly - ODS
fluid restriction?
yes
sodium intake
increased
demeclocycline side effects
-DI
-diarrhea
-n+v
-azotemia (high nitrogen)
demeclocycline - avoid:
-iron
-calcium
-sunlight
-take on empty stomach with water
conivaptan route
oral
conivaptan treats
-SIADH
-CHF
-Cirrhosis
conivaptan interventions
-limit to 4 days only
-infuse over 24 hours to avoid ODS
-monitor Na levels
-monitor for HTN and a fib
-avoid grapefruit juice
tolvaptan route
oral
tolvaptan interventions
-black box warning
-don’t restrict fluid first 24 hours (ODS risk)
ODS symptoms
-dysarthria
-mutism
-dysphagia
-lethargy
-spasticity
-seizures
-coma
bp
high
