2-diabetes-insipidus-sys-dis

ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11 System Disorder STUDENT NAME _____________________________________ DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ ACTIVE LEARNING TEMPLATE: ASSESSMENT SAFETY CONSIDERATIONS PATIENT-CENTERED CARE Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures Complications Therapeutic Procedures Interprofessional Care Nursing Care Client Education Medications Endocrine/ Diabetes Insipidus 77 -Excessive diluted urination, excessive thirst, electrolyte imbalance, and excessive fluid intake -Monitor: VS, urinary output, central venous pressure, I&O, specific gravity , and lab values; weigh client daily; IV therapy: hydration + electrolyte replacement; fall precautions; assess skin turgor and mucous membranes; provide skin + mouth care -Water deprivation test (ADH stimulation test) -Urine testing -Blood testing -Deficiency of ADH, which is secreted by the posterior lobe of the pituitary gland; decreased ADH reduces ability of the distal renal tubules in kidneys to to collect and concentrate urine -Polyuria; polydypsia; older adult clients at higher risk for dehydration -Healthy diet, exercise and monitoring of I&O -Head injury, tumor or lesion, surgery or irradiation near or around the pituitary gland, or infection (meningitis, encephalitis); taking lithium carbonate or demeclocycline -Monitor: I&O, wt, specific gravity of urine, signs of dehydration -Home assistance for fluid, medication, and dietary mgmt might be required -Daily wt; eat high-fiber diet; wear medical alert bracelet; monitor: I&O, for indications of dehydration; restrict fluids as prescribed to prevent water intox; avoid alcohol -ADH replacement agents (or neurogenic DI) -Promote prescribed diet; add bulk foods and fruit juices to the diet if constipation develops; laxative might be needed; encourage client to drink fluids in response to thirst and match the volume of urine output -Excessive urine output from untreated DI -Hyperosmolarity -Hypernatremia -Circulatory collapse -Unconciousness -Central nervous system damage -Seizures Downloaded by Medic Vayne (wicks40@gmail.com) lOMoARcPSD|28651312