Diabetes insipidus is a rare condition that causes your body to make a lot of urine that is "insipid," or colorless and odorless. Most people pee out 1 to 2 quarts a day. People with diabetes insipidus can pass between 3 and 20 quarts a day. Do You Know About This Rare Disease? Diabetes Insipidus
“Administer desmopressin while the suspension is cold.”
“Your condition isn’t chronic, so you won’t need to wear a medical identification bracelet.”
“You may not be able to use desmopressin nasally if you have nasal discharge or blockage.”
“You won’t need to monitor your fluid intake and output after you start taking desmopressin.”
Vasopressin (Pitressin Synthetic).
Antidiuretic hormone (ADH).
Thyroid-stimulating hormone (TSH).
Follicle-stimulating hormone (FSH).
Luteinizing hormone (LH).
Fluid intake is less than 2,500 ml/day.
Urine output measures more than 200 ml/hour.
Blood pressure is 90/50 mm Hg.
The heart rate is 126 beats/minute.
Above-normal urine and serum osmolality levels
Below-normal urine and serum osmolality levels
Above-normal urine osmolality level, below-normal serum osmolality level
Below-normal urine osmolality level, above-normal serum osmolality level
Measure the urinary output
Check the vital signs
Encourage increased fluid intake
Weigh the client
Taking vital signs every 4 hours
Monitoring blood glucose
Assessing ABG values every other day
Measuring urine output hourly
“I will drink fluids equal to the amount of my urine output.”
“I will weigh myself every day using the same scale.”
“I will wear my medical alert bracelet at all times.”
“I will gradually wean myself off the vasopressin.”
Syndrome of inappropriate antidiuretic hormone secretion (SIADH).
Sleep pattern deprivation related nocturia
Activity intolerance r/t muscle weakness
Fluid volume excess r/t intake greater that output
Risk for impaired skin integrity r/t generalized edema
Arterial blood pH
Intake and output
Bromocryptine and cabergoline
Hydrochlorothiazide and furosemide
Cimetidine and verapamil
Lithium and demeclocycline
Acetaminophen and isoniazid
Hypercalcemia and hyperkalemia
Hypercalcemia and hypokalemia
Hypocalcemia and hyperkalemia
Hypocalcemia and hypokalemia
Hyperglycemia and polyuria
Periorbital ecchymosis and blurred vision
Polyuria and polydipsia
Oliguria and hypoglycemia
Weight gain and malaise
24-hour urine output > 18L
Plasma osmolarity > 295mOsm/kg
Plasma osmolarity < 280mOsm/kg after a water deprivation test
Mimics vasopressin and increases kidney water reabsorption
Blocks vasopressin and increases kidney water reabsorption
Mimics vasopressin and increases kidney salt excretion
Blocks vasopressin and increases kidney salt excretion
Here's an interesting quiz for you.