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Questions and Answers
The nurse determines that demeclocycline is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) based on finding that the patient's?
The nurse determines that demeclocycline is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) based on finding that the patient's?
- Urinary output is increased (correct)
- Weight has increased
- Urine specific gravity is increased
- Peripheral edema is increased
The nurse determines that additional instruction is needed for a patient with chronic SIADH when the patient makes which statement?
The nurse determines that additional instruction is needed for a patient with chronic SIADH when the patient makes which statement?
- I should eat foods high in potassium because diuretics cause potassium loss
- I should weigh myself daily & report any sudden weight loss or gain
- I need to shop for foods low in sodium & avoid adding salt to food (correct)
- I need to limit my fluid intake to no more than 1 quart of liquids a day
A 67 year old patient who is disoriented & reports a headache & muscle cramps is hospitalized with possible SIADH. The nurse would expect the initial laboratory results to include?
A 67 year old patient who is disoriented & reports a headache & muscle cramps is hospitalized with possible SIADH. The nurse would expect the initial laboratory results to include?
- Increased serum chloride
- Low urine specific gravity
- Elevated hematocrit
- Decreased serum sodium (correct)
Which intervention will the nurse include in the plan of care for a patient with SIADH?
Which intervention will the nurse include in the plan of care for a patient with SIADH?
Which information is MOST important for the nurse to communicate rapidly to the health care provider about a patient with possible SIADH?
Which information is MOST important for the nurse to communicate rapidly to the health care provider about a patient with possible SIADH?
Nursing care of a child diagnosed with SIADH should include? (Select all)
Nursing care of a child diagnosed with SIADH should include? (Select all)
Which children admitted to the pediatric unit would the nurse monitor closely for development of SIADH? Select all who apply.
Which children admitted to the pediatric unit would the nurse monitor closely for development of SIADH? Select all who apply.
Flashcards
Demeclocycline Effectiveness in SIADH
Demeclocycline Effectiveness in SIADH
Demeclocycline is effective in treating SIADH when it increases urinary output, helping to restore fluid balance.
SIADH dietary teaching
SIADH dietary teaching
A patient with chronic SIADH needs further instruction if they plan to restrict sodium. The primary treatment involves fluid restriction, not sodium restriction. In SIADH, the problem is excess water retention, which dilutes sodium levels.
SIADH initial lab result
SIADH initial lab result
In SIADH, excess ADH leads to water retention, causing dilutional hyponatremia. Therefore, decreased serum sodium is expected.
SIADH nursing intervention
SIADH nursing intervention
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Critical SIADH lab value
Critical SIADH lab value
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SIADH nursing care for children
SIADH nursing care for children
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Pediatric SIADH risk factors
Pediatric SIADH risk factors
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Study Notes
Demeclocycline and SIADH
- Demeclocycline is effective in SIADH by blocking ADH action on renal tubules, increasing urine output.
- An increase in urinary output indicates effective treatment, while increased weight and specific gravity suggest persistent SIADH.
Patient Education in Chronic SIADH
- Patients should avoid high sodium foods; sodium supplementation may be necessary due to hyponatremia risk.
- Daily weight monitoring is crucial to report any sudden weight fluctuations.
- Diuretics may cause potassium loss, so patients should consume potassium-rich foods.
- Fluid intake should be limited, typically to no more than 1 quart per day.
Laboratory Findings in SIADH
- A drop in serum sodium below normal (e.g., 118 mEq/L) is expected due to water retention.
- Urine will often show high specific gravity and low serum chloride levels due to water reabsorption.
Nursing Interventions for SIADH
- Fluid intake must be restricted, generally between 800 to 1000 mL/day.
- Sucking on hard candies can help manage thirst in fluid-restricted patients.
- Monitoring peripheral edema is unnecessary since it does not commonly present with SIADH.
Critical Data for SIADH Patients
- A serum sodium level below 120 mEq/L is critical and requires immediate communication with healthcare providers due to risks for seizures and complications.
- Other symptoms like weight gain or urine specific gravity do not warrant urgent action.
Pediatric Nursing Care for SIADH
- The primary management strategy for children with SIADH is fluid restriction to address fluid overload.
- Daily weight measurements should be conducted consistently.
Children at Risk for SIADH
- Monitor children with central nervous system disorders closely, such as:
- School-age child post-brain tumor surgery.
- Infant with suspected meningitis.
- School-age child with head trauma.
- Conditions like type 1 diabetes and blunt abdominal trauma are not typically associated with SIADH.
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