Syndrome of inappropriate antidiuretic hormone secretion occurs when excessive levels of antidiuretic hormones (hormones that help the kidneys, and body, conserve the correct amount of water) are produced. The syndrome causes the body to retain water and certain levels of electrolytes in the blood to fall (such as sodium). SIADH is rare in children. Show
SIADH tends to occur in people with heart failure or people with a diseased hypothalamus (the part of the brain that works directly with the pituitary gland to produce hormones). In other cases, a certain cancer (elsewhere in the body) may produce the antidiuretic hormone, especially certain lung cancers. Other causes may include the following:
Each person may experience symptoms differently. Symptoms, in more severe cases of SIADH, may include:
The symptoms of SIADH may resemble other problems or medical conditions. Always consult your child's doctor for a diagnosis. In addition to a complete medical history and physical examination, to confirm diagnosis of SIADH, blood and urine tests will need to be performed to measure sodium, potassium, and osmolality (concentration of solution in the blood and urine). Specific treatment for SIADH will be determined by your doctor based on:
The most commonly prescribed treatment for SIADH is fluid and water restriction. If the condition is chronic, fluid restriction may need to be permanent. Treatment may also include:
This preview shows page 5 - 8 out of 31 pages. 16. A male client is admitted for treatment of the syndrome ofinappropriate antidiuretic hormone (SIADH). Which nursingintervention is appropriate?A. Infusing I.V. fluids rapidly as orderedB. Encouraging increased oral intakeC. Restricting fluidsD. Administering glucose-containing I.V. fluids as ordered 17. A female client has a serum calcium level of 7.2 mg/dl. During thephysical examination, nurse Noah expects to assess: Get answer to your question and much more 18. Which outcome indicates that treatment of a male client withdiabetes insipidus has been effective? Get answer to your question and much more 19. Jemma, who weighs 210 lb (95 kg) and has been diagnosed withhyperglycemia tells the nurse that her husband sleeps in another roombecause her snoring keeps him awake. The nurse notices that she haslarge hands and a hoarse voice. Which of the following would the nursesuspect as a possible cause of the client’s hyperglycemia? Get answer to your question and much more 20. Nurse Kate is providing dietary instructions to a male client withhypoglycemia. To control hypoglycemic episodes, the nurse shouldrecommend:A. Increasing saturated fat intake and fasting in the afternoon.B. Increasing intake of vitamins B and D and taking iron supplements. C. Eating a candy bar if lightheadedness occurs.D. Consuming a low-carbohydrate, high protein diet and avoiding fasting.21. An incoherent female client with a history of hypothyroidism isbrought to the emergency department by the rescue squad. Physicaland laboratory findings revealhypothermia, hypoventilation,respiratory acidosis, bradycardia,hypotension, and nonpitting edemaof the face and pretibial area. Knowing that these findings suggestsevere hypothyroidism, nurse Libby prepares to take emergency actionto prevent the potential complication of: Get answer to your question and much more 22. A male client with type 1 diabetes mellitus asks the nurse abouttaking an oralantidiabeticagent. Nurse Jack explains that thesemedications are only effective if the client: Get answer to your question and much more Upload your study docs or become a Course Hero member to access this document Upload your study docs or become a Course Hero member to access this document End of preview. Want to read all 31 pages? Upload your study docs or become a Course Hero member to access this document Which outcome indicate that treatment of a male client with diabetes insipidus has been effective?DDAVP replaces the ADH, facilitating reabsorption of water and consequent return of normal urine output and thirst. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? Urine output measures more than 200 ml/hour.
Which of the following is a serious complication of SIADH?A low sodium level or hyponatremia is a major complication of SIADH and is responsible for many of the symptoms of SIADH.
Which patient is most at risk for developing syndrome of inappropriate antidiuretic hormone?SIADH tends to occur in people with heart failure or people with a diseased hypothalamus (the part of the brain that works directly with the pituitary gland to produce hormones). In other cases, a certain cancer (elsewhere in the body) may produce the antidiuretic hormone, especially certain lung cancers.
Which characteristic is seen in syndrome of inappropriate antidiuretic hormone secretion?SIADH is characterized by impaired water excretion leading to hyponatremia with hypervolemia or euvolemia.
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A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone
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