About
A disorder characterized by increased urine loss due to the inability to synthesize antidiuretic hormone ( ADH) by the kidneys, or the inability to produce enough ADH due to lack of or decreased vasopressin.
Assess
Excessive urination ( polyuria), urine output/ characteristics, labs, excessive dehydration, change in level of consciousness, VS, hypotension, high heart rate, dry mucous membranes, thirst, irritability, lethargy, weak peripheral pulses.
Complications
- Dehydration; electrolyte imbalance; coma; death
- Diagnosis
- Deficient fluid volume related to failure of regulatory mechanism
- Risk for injury related to fluid/ electrolyte imbalance
Goals
- The client will have equal intake to match output.
- The client will be able to state purposes of medication therapy.
- The client will remain free from injury.
Interventions
- Monitor intake and outputs, daily weights, and vitals.
- Administer fluids and IV fluids as ordered.
- Administer medications ( vasopressin, desmopressin, etc.) as ordered.
- Teach client to administer medications as ordered.
- Encourage client to monitor intake and outputs and daily weights; notify health care providers if significant weight gain related to therapy.
- Encourage client to wear a medical alert bracelet.
- Monitor for signs/ symptoms of complications.
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