Podcast
Questions and Answers
What is a primary cause of Schwartz-Barter Syndrome?
What is a primary cause of Schwartz-Barter Syndrome?
- Hypernatremia
- Low plasma volume
- Hyponatremia (correct)
- Excessive water loss
Which symptom is NOT typically associated with Fluid Volume Overload (FVO) in Schwartz-Barter Syndrome?
Which symptom is NOT typically associated with Fluid Volume Overload (FVO) in Schwartz-Barter Syndrome?
- Increased urine output (correct)
- Headaches
- Full bounding pulses
- Decreased deep tendon reflexes
What intervention is recommended for a patient with Schwartz-Barter Syndrome?
What intervention is recommended for a patient with Schwartz-Barter Syndrome?
- Administer intravenous fluids
- Increase sodium intake to correct hyponatremia
- Restrict fluids to 500-1000ml/day (correct)
- Encourage fluid intake of 3000ml/day
Which of the following findings is characteristic of the urine in Schwartz-Barter Syndrome?
Which of the following findings is characteristic of the urine in Schwartz-Barter Syndrome?
Which chronic condition is commonly associated with the development of Schwartz-Barter Syndrome?
Which chronic condition is commonly associated with the development of Schwartz-Barter Syndrome?
Flashcards
SIADH cause: Exogenous ADH
SIADH cause: Exogenous ADH
Body exposed to excess Antidiuretic Hormone (ADH), leading to water retention.
SIADH symptom: Lethargy
SIADH symptom: Lethargy
Feeling of tiredness and lack of energy related to low sodium.
SIADH symptom: Hyponatremia
SIADH symptom: Hyponatremia
Low sodium levels in blood due to water retention (dilutional).
SIADH urine characteristic: High specific gravity
SIADH urine characteristic: High specific gravity
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SIADH intervention: Fluid restriction
SIADH intervention: Fluid restriction
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Study Notes
Posterior Pituitary Gland (SIADH)
- Syndrome of inappropriate antidiuretic hormone (SIADH) is a condition where the body retains too much water even when it's not needed.
- It's caused by the release of antidiuretic hormone (ADH) when levels of ADH are not required.
Assessment for SIADH
- Medical History: May involve small cell lung cancer, pneumonia, tumors, or trauma.
- Symptoms: Lethargy, headaches, hostility, disorientation, and changes in level of consciousness (LOC).
- Neurological Assessment: Assess deep tendon reflexes (DTRs), which are usually decreased.
- Vital Signs (VS): Full bounding pulses, tachycardia, and potentially hypothermia.
- Fluid Balance: Decreased urine volume, increased urine osmolality, and increased plasma volume. Specific gravity may be > 1.030
- Plasma Osmolarity: Low (hyponatremia, below 115 mEq/L)
Interventions for SIADH
- Fluid Restriction: Restricting fluid intake to 500-1000ml/day.
- Monitoring: Daily weight and careful monitoring of fluid balance.
- Tube Feedings: Using saline solutions to dilute tube feedings and irrigate gastric tubes.
- Medications: May be considered in specific cases .
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