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Definition
Decreased secretion of antidiuretic hormone
results in increase urine out put
Etiology
Central
 Genetic problems
 Head injury
 Infection
 Problem with the ADH-producing cells due to
an autoimmune disease
 Loss of blood supply to the pituitary gland
 Surgery
 Tumors in or near the pituitary gland
Nephrogenic involves a defect in the kidneys.
 Certain drugs, such as lithium
 Genetic problems
 High level of calcium in the body
(hypercalcemia)
 Kidney disease, such as polycystic kidney
disease
Clinical manifestation
a. Polyuria of 4 to 24 L/day
b. Polydipsia
c. Dehydration (decreased skin turgor and dry
mucous membranes)
d. Inability to concentrate urine
e. Low urinary specific gravity, 1.006 or lower
f. Fatigue
g. Muscle pain and weakness
h. Headache
i. Postural hypotension that may progress to
vascular collapse without rehydration
j. Tachycardia
Diagnostic evaluation
 The health care provider will ask about your
medical history and symptoms.
 Tests that may be ordered include:
 Blood sodium and osmolality
 Desmopressin (DDAVP) challenge
 MRI of the head
 Urinalysis
 Urine concentration and osmolality
 Urine output
Management
a. Monitor vital signs and neurological and
cardiovascular status.
b. Provide a safe environment, particularly for
the client with postural hypotension.
c. Monitor electrolyte values and for signs of
dehydration.
d. Maintain client intake of adequate fluids.
e. Monitor intake and output, weight, serum
osmolality, and specific gravity of urine.
f. Instruct the client to avoid foods or liquids
that produce diuresis.
g. Vasopressin tannate (Pitressin) or
desmopressin acetate (DDAVP, Stimate) may be
prescribed; these are used when the ADH
deficiency is severe or chronic.
h. Instruct the client in the administration
ofmedications as prescribed; DDAVP may be
administered by injection, intranasally, or orally.
i. Instruct the client to wear a Medic-Alert
bracelet.

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Diabetic insipidus

  • 1.
  • 2. Definition Decreased secretion of antidiuretic hormone results in increase urine out put
  • 3. Etiology Central  Genetic problems  Head injury  Infection  Problem with the ADH-producing cells due to an autoimmune disease  Loss of blood supply to the pituitary gland  Surgery  Tumors in or near the pituitary gland
  • 4. Nephrogenic involves a defect in the kidneys.  Certain drugs, such as lithium  Genetic problems  High level of calcium in the body (hypercalcemia)  Kidney disease, such as polycystic kidney disease
  • 5. Clinical manifestation a. Polyuria of 4 to 24 L/day b. Polydipsia c. Dehydration (decreased skin turgor and dry mucous membranes) d. Inability to concentrate urine e. Low urinary specific gravity, 1.006 or lower
  • 6. f. Fatigue g. Muscle pain and weakness h. Headache i. Postural hypotension that may progress to vascular collapse without rehydration j. Tachycardia
  • 7. Diagnostic evaluation  The health care provider will ask about your medical history and symptoms.  Tests that may be ordered include:  Blood sodium and osmolality  Desmopressin (DDAVP) challenge  MRI of the head  Urinalysis  Urine concentration and osmolality  Urine output
  • 8. Management a. Monitor vital signs and neurological and cardiovascular status. b. Provide a safe environment, particularly for the client with postural hypotension. c. Monitor electrolyte values and for signs of dehydration. d. Maintain client intake of adequate fluids. e. Monitor intake and output, weight, serum osmolality, and specific gravity of urine.
  • 9. f. Instruct the client to avoid foods or liquids that produce diuresis. g. Vasopressin tannate (Pitressin) or desmopressin acetate (DDAVP, Stimate) may be prescribed; these are used when the ADH deficiency is severe or chronic. h. Instruct the client in the administration ofmedications as prescribed; DDAVP may be administered by injection, intranasally, or orally. i. Instruct the client to wear a Medic-Alert bracelet.