Complex Care: Diabetes Insipidus (DI)

What interventions should the nurse implement in caring for a client with diabetes insipidus (DI) following a head injury? Select all that apply. A. Providing adequate fluids within easy reach B. Reporting an increasing urine specific gravity C. Administering prescribed erythromycin D. Assessing for and reporting changes in neurological status E. Monitoring for constipation, weight loss, hypotension, and tachycardia

A. Providing adequate fluids within easy reach D. Assessing for and reporting changes in neurological status E. Monitoring for constipation, weight loss, hypotension, and tachycardia

Which medical condition could most probably result in clients developing primary diabetes insipidus (DI)? A. Meningitis B. Brain tumor C. Lithium therapy D. Defect in hypothalamus

D. Defect in hypothalamus

The Neurosurgeon orders vasopressin continuous IV infusion: 0.0005 units/kg/hr initially then double dose q30min to reach the desired effect, not to exceed 0.01 unit/kg/hr. Which findings would best indicate desired effect has been achieved: A. BP of 100/60 B. Glucose 90mEq/L C. Heart Rate 100beats/min D. Serum Sodium 135mEq/L E. Urine Specific Gravity of 1.012

D. Serum Sodium 135mEq/L E. Urine Specific Gravity of 1.012

What should a patient do daily when taking Desmopressin Acetate

Daily Weight to identify weight gains

For a patient with Diabetes Insipidus (DI), will Urine Specific Gravity increase or decrease

Decrease < 1.005

For a patient with Diabetes Insipidus (DI), will Urine Osmolality increase or decrease

Decrease < 150mOsm/kg/L

What is the medication of choice for Diabetes Insipidus

Desmopressin Acetate

Which medication for Diabetes Insipidus (DI) is a vasopressin that hold onto fluids

Desmopressin Acetate

What condition is a result of water loss due to ADH deficiency or the inability of the kidney to respond to ADH

Diabetes Insipidus (DI)

What condition is caused by HEAD INJURY, pituitary surgery, older person, CNS infection and drug usage (e.g. Lithium)

Diabetes Insipidus (DI)

Which condition has the nursing intervention of NO beer, caffeine, and red bull. Also, the nursing also watch for fluid overload

Diabetes Insipidus (DI)

Which condition present with the signs and symptoms of POLYURIA, irritability, fatigue, restlessness, serve dehydration, tachycardia, muscle pain, excessive thirst, HYPERNATREMIA

Diabetes Insipidus (DI)

When taking the vasopressin medication, the patient should be instructed that fluid intake should equal.....

Fluid Output

Why would BUN/Cr increase in Diabetes Diabetes Insipidus (DI)

Hemoconcentration

For a patient with Diabetes Insipidus (DI), will Serum Sodium increase or decrease

Increase >155mEq/L (normal range: 135-145mEq/L)

For a patient with Diabetes Insipidus (DI), will Serum Osmolality increase or decrease

Increase >295mOsm/kg/L

If Urine Osmolality rise by less than 50%, the condition is considered Neurogenic or Nephrogenic

Nephrogenic DI

If Urine Osmolality rise 50% or more, the condition is considered Neurogenic or Nephrogenic

Neurogenic or Central DI

Which route is used if the patient with Diabetes Insipidus (DI) has a respiratory infection, ulceration, chest tightness or allergy

Subcantaneous Route

What is the nurse HIGHEST priority for managing DI

Watch Electrolyte (e.g. Potassium & Sodium) and Fluids