SIADH vs Diabetes insipidus

1. A patient arrives to the ER and is unable to give you a health history due to altered mental status. The family reports the patient has gained over 10 lbs in 1 week and says it is mainly “water” weight. In addition, they report the patient hasn’t been able to urinate or eat within the past week as well and was recently diagnosed with small cell lung cancer. On assessment, you note the patient’s HR is 115 and BP 180/92. Patient sodium level is 90. Which of the following conditions do you suspect the patient is most likely presenting with?

2. In the scenario above what drug do you anticipate the patient will be started on per doctor’s order?

3. Which of the following signs and symptoms is NOT expected with Diabetes Insipidus?

4. You are developing a care plan for a patient with SIADH. Which of the following would be a potential nursing diagnosis for this patient?

5. A patient with a mild case of diabetes insipidus is started on Diabinese. What would you include in your patient teaching with this patient?

6. Which patient is most at risk for developing Syndrome of Inappropriate Anti-diuretic Hormone (SIADH)?

7. A patient with SIADH is undergoing IV treatment of a hypertonic IV solution of 3% saline and IV Lasix. Which of the following nursing findings requires intervention?

8. The anti-diuretic hormone is __________ in Diabetes Insipidus and _________ in SIADH.

9. Where is the anti-diuretic hormone PRODUCED in the body?

10. Where is the anti-diuretic hormone SECRETED in the body?