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Diabetes Insipidus (Sip) - Answer: antidiuretic hormone is not secreted
adequately, or the kidney is resistant to its effect
Diabetes insipidus labs - Answer: 1. hypernatremia
2. elevated BUN/Cr
, 3. increased serum osmo >295
4. decreased urine osmo < 200
5. decreased urine specific gravity < 1.005
6. Decreased ADH
7. Polydipsia
diabetes insipidus treatment - Answer: Desmopressin (vasopressin);
hydrochlorothiazide, hypotonic sol.
syndrome of inappropriate (increased) ADH (SIADH) - Answer: excessive
secretion of antidiuretic hormone producing water retention in the
body
SIADH Labs - Answer: Urine chemistry: Think CONCENTRATED.
● Increased urine sodium
●Increased urine osmolarity
●Increased Urine Specific Gravity > 1.030
● As urine volume decreases, urine osmolarity increases. (decreased
UOP)
Blood chemistry: Think DILUTE.