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29 Cards in this Set

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  • Back
Drug that can be given to treat SIADH:
What condition should we monitor an SIADH patient on Declomycin for?
If we are giving an SIADH patient 3% NaCl for dilutional hyponatremia, what do we need to watch the patient for?
Worsening fluid overload, pulmonary edema (crackles, HTN)
Given to correct dilutional hyponatremia in patients with SIADH; given slowly and carefully on a pump:
3% NaCl
Main drug given to patients with SIADH to help them excrete excess fluid:
What type of water should tube feedings be diluted with for a patient with SIADH?
What would be an appropriate oral fluid intake amount for a patient with severe SIADH?
500-600 mL / day
What is an important intervention for someone with SIADH in order to correct dilutional electrolyte imbalances?
Restrict fluids
What important changes should the nurse monitor for in a patient with SIADH and a severely low sodium level?
CNS changes
Anorexia, N/V, lethargy, headache, hostility, disorientation, and change in LOC are seen in diabetes insipidus or SIADH?
Would weight gain or weight loss be seen in a patient with SIADH?
Weight gain
In a case of SIADH, what is retained, causing dilutional hyponatremia?
An increase in the amount of ADH that is secreted; caused most commonly by chemo, trauma, stroke, TB, SLE, or pneumothorax; could also be caused by chemo drugs, opioids, anesthesias, and tricyclic antidepressants:
These two signals warrant the need for a dose of vasopressin in the patient with lifelong diabetes insipidus:
Polyuria, polydipsia
What does permanent diabetes insipidus require lifelong?
Vasopressin or DDAVP therapy
A synthetic form of vasopressin given orally or intranasally in a metered spray:
Drug given to increase the action of existing ADH and stimulates the production of ADH in the hypothalamus:
What lab findings are common in someone with severe diabetes insipidus due to hemoconcentration?
Low urine specific gravity, high H & H, increased BUN and creatinine
What is the definitive factor in determining if diabetes insipidus is present?
Urine output of 4 or more liters greater than intake
What are the clinical manifestations of diabetes insipidus?
Increased urination, excessive thirst
Type of diabetes insipidus that is induced by lithium or demeclocycline; interferes with the kidneys' response to ADH:
Type of diabetes insipidus in which there is a defect in the hypothalamus or pituitary gland resulting in lack of ADH production or release:
An inherited form of diabetes insipidus in which the kidney tubules do not respond:
This is a decrease in ADH (vasopressin) that results in the excretion of large volumes of dilute urine:
Diabetes insipidus
A deficiency in this results in the excretion of large volumes of dilute urine:
Where are oxytocin and vasopressin produced before being sent to the posterior pituitary gland?
Hormone that controls fluid balance:
Hormone that stimulates uterine contractions:
What two hormones does the posterior pituitary gland secrete?
ADH & oxytocin