About
Antidiuretic hormone is released inappropriately or increase in vasopressin, causing severe hyponatremia.
Assess
Water retention, loss of appetite, weight gain, nausea, hyponatremia, lethargy, agitation, changes in level of consciousness, tachycardia, hypothermia
Complications
CHF; fluid overload; severe hyponatremia; seizures; coma
Diagnosis
- Knowledge deficit related to disease process and management
- Ineffective airway clearance related to pulmonary edema
- Fluid volume excess related to mechanical factors/ disease process
- Acute confusion related to electrolyte imbalance
Goals
- The client will have a return of serum sodium levels to at or near normal.
- The client will identify methods to identify complications of disease or treatment.
Interventions
- Assess vitals frequently.
- Monitor electrolytes, Intake and outputs, and daily weights.
- Assess neurological status frequently.
- Monitor for s/s of fluid overload.
- Implement fluid restriction as ordered by physician.
- Administer drugs ( hypertonic IV; diuretics) as ordered.
- Teach client how to monitor for changes related to disease process.
- Institute safety precautions to prevent injury.
- Monitor for signs/ symptoms of complications.
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