Policy considerations
Fluid replacement
Most patients with diabetes insipidus (DI) can drink enough fluids to replace the loss of urine. When oral intake is insufficient walhaybrnatrmia accessible and replace losses with dextrose and water or intravenous (IV) fluid that is the mattress does not cause asmoli with regard to the patient's serum. Not sterile water without dextrose intravenously, because it can cause hemolysis.
To avoid high blood sugar, and excessive size, excessive rapid correction of alhaibrnatrmia, fluid replacement should be provided at a rate no more than 500-750 ml/hour. A good rule of thumb is to limit the sodium in the blood of 0.5 mmol/l (0.5 mEq/L) per hour. Water deficit can be calculated based on the assumption that body of water about 60% of body weight. …show more content…
[27, 28] and synthetic analogue of the hormone anti diuresis (ADH), desmopressin is available in under the skin, nose, and oral preparations. [29] in General, it can be administered 2-3 times per day. Patients may require hospitalization for Administration of fluid needs. Recommended monitoring the electricity frequently during the initial phase of treatment.
Alternatives include desmopressin as a pharmacotherapy for vasopressin nonhormonal agents artificial DI klorbrobamid, karbamasibin, klovibrat (no longer in the United States market), thiazides, and antiretroviral drugs Anti-inflammatory (NSAIDs). Because of side effects, and rarely uses karbamasibin, which is used only when all other measures prove unsatisfactory. NSAIDs (eg indomethacin) can be used in the Callaway DI, but only when there are no better options.
Central DI, the main problem is the lack of a hormone; and replace physiologist with desmopressin is usually effective. Use nonhormonal drugs for Central DI if response is incomplete or desmopressin are very expensive.
Fluid replacement
Most patients with diabetes insipidus (DI) can drink enough fluids to replace the loss of urine. When oral intake is insufficient walhaybrnatrmia accessible and replace losses with dextrose and water or intravenous (IV) fluid that is the mattress does not cause asmoli with regard to the patient's serum. Not sterile water without dextrose intravenously, because it can cause hemolysis.
To avoid high blood sugar, and excessive size, excessive rapid correction of alhaibrnatrmia, fluid replacement should be provided at a rate no more than 500-750 ml/hour. A good rule of thumb is to limit the sodium in the blood of 0.5 mmol/l (0.5 mEq/L) per hour. Water deficit can be calculated based on the assumption that body of water about 60% of body weight. …show more content…
[27, 28] and synthetic analogue of the hormone anti diuresis (ADH), desmopressin is available in under the skin, nose, and oral preparations. [29] in General, it can be administered 2-3 times per day. Patients may require hospitalization for Administration of fluid needs. Recommended monitoring the electricity frequently during the initial phase of treatment.
Alternatives include desmopressin as a pharmacotherapy for vasopressin nonhormonal agents artificial DI klorbrobamid, karbamasibin, klovibrat (no longer in the United States market), thiazides, and antiretroviral drugs Anti-inflammatory (NSAIDs). Because of side effects, and rarely uses karbamasibin, which is used only when all other measures prove unsatisfactory. NSAIDs (eg indomethacin) can be used in the Callaway DI, but only when there are no better options.
Central DI, the main problem is the lack of a hormone; and replace physiologist with desmopressin is usually effective. Use nonhormonal drugs for Central DI if response is incomplete or desmopressin are very expensive.