OMG! The Best SIADH VS. DIABETES INSIPIDUS Ever!

SIADH and Diabetes Insipidus Posterior pituitary produces ADH (anti-diuretic hormone)       Syndrome of Inappropriate Anti-Diuretic Hormone.

SIADH= Too much ADH I remembered it by Soggy Sid 

1. Oat cell carcinoma

2. Viral pneumonia

3. Head problems     

     

ADH is overproduced and tells the kidneys to retain fluid.  

Fluid volume excess= hemodilution Low serum Na+ Edema   Hypertension, Bounding pulses   Weight gain, Low urine output     PULMONARY EDEMA and SEIZURES! 

Monitor lung sounds Seizure precautions.

DIABETES INSIPIDUS      

Diabetes Insipidus

1. HEAD PROBLEMS        

Posterior pituitary cannot produce ADH.      

This is neurogenic DI Nephrogenic DI occurs when the kidneys cannot RESPOND to ADH   Mainly know the neurogenic form for testing purposes.    

Kidneys excrete excessive amounts of urine due to lack of production or response to ADH Up to 20 L per day!

Fluid volume deficit Hemo concentration with elevated serum Na+   Hypotension, tachycardia.   Pulses will be weak and thready Dry mucus membranes Weight loss, lots of urine output.

HYPOVOLEMIC SHOCK!!  

1. Hypotension unresponsive to treatment is a sign of shock.        

2. Nursing interventions are similar ofr both of these disorders SIADH= Fluid volume excess.

3. Diabetes insipidus= fluid volume deficit Monitor HR and BP for both disorders.

4. Monitor Is and Os for both disorders Daily weights for both disorders.

5. SIADH: Monitor lung sounds because we are concerned with pulmonary edema HTN and sezures are additional concerns with diabetes insipidus we are concerned with hypovolemic shock   With DI we administer Desmopressin.

6. SIADH= Diuretics and fluid restriction.

3 Things Everyone Knows About DIABETES INSIPIDUS That You Don't

Today I am goanna present Diabetes Insipidus. So What is Diabetes? It literally means a large amount of water goes through, since dia- is a prefix means through, and betes is the suffix means to go.

Medically speaking it is a general term for disease characterized by excessive discharge of urine. There are no main types of diabetes: Diabetes mellitus and Diabetes Insipidus. Diabetes Mellitus is a disorder characterized by abnormally high blood sugar level, which causes glycosuria, which is glucose within urine. Mellitus by the way means sweet.

DIABETES INSIPIDUS

Diabetes Insipidus is a disorder characterized by abnormal high amount of urine with no taste. Cause of Diabetes Insipidus. The main cause of it is that the reabsorption mechanism within the kidney is not functioning properly. The picture on the right shows that fluid is not able to reabsorb back to the blood vessels during the formation of urine. This causes the urine to be severely diluted.

There are two main causes for the reabsorption to go wrong, which leads to two types of DI.

The first type is a lack or low level of Antidiuretic Hormone. And the other one is due the failure for kidney to respond to the Antidiuretic Hormone. One type of DI is known as central Diabetes Insipidus. It is characterized by the lack or low level of Antidiuretic Hormone. So what is Antidiuretic Hormone. It's also called Vasopressin. It is a hormone produced by the Hypothalamus in the brain, stored and released by the pituitary gland. Its main function is to stimulate the reabsorption of water by the renal tubules. And now the reabosorption is hindered by low level or complete lack of ADH, which causes excessive loss of water through urine. And the main cause for this is due to the damage of Hypothalamus or pituitary gland by surguries,imflammation, tumor, etc. And the disease may also be genetic.

 The other type of DI is known as Nephrogenic Diabetes Insipidus It is characterized by the failure of the kidney to respond to ADH, as shown by the figure on the right. As a result, reabsorption is hindered as well. This causes a large amount of diluted urine. Similar to central Diabetes insipidus, it can also be genetic. But for acquired disorder, there are factors include: blockage in the urinary tract, High calcium levels, low potassium levels and use of certain drugs such as lithium. So what are the symptoms of DI? Both types of DI basically have the same symptoms. The most obvious one is polyuria, which is excessive urination. About 3 liters to 15 liters of urine per day.

That's really a lot because normal people only urinate about 1 Liter to 1.5 liter a day. And due to the excessive loss of water, polydipsia results (which is excessive thirst). And most of the time it is uncontrollable and people need a large amount of water and even craving for ice water. And if fluid intake is not enough, it will cause dehydration. Symptoms due to dehydration include: dry skin, fatique and lethargy, headache, lower alertness, Tachycardia (which is rapid heartbeat) and even possible coma. What are the treatments available to diabetes insipidus?

Since both types cannot be cured completely, the treatment is most likely life-long. For central DI, which is due to lack or low level of ADH, desmopressin can be given as nasal spray, tablets or injections. Desmopressin is the synthesis form of ADH. It serves to control urine output, fluid balance and prevent dehydration. And for mild cases for central DI, a prescription for a certain amount of water intake can be given to ensure proper hydration.

On the other hand, for nephrogenic DI, which is due to the irresponsive of kidney to ADH, a large amount of fluid intake is needed to prevent dehydration. Diet of low-sodium, low-protein can be given to reduce urine output. And finally medications such as nonsteroidal anti-imflammatory drugs and thiazide diuretics can be given to relieve the symptoms.

5 Things To Do Immediately About LIVING WITH GESTATIONAL DIABETES WEEK 29 BABY

Welcome to week 28 and 29. We were on vacation last week And I did not get a chance to film, so you're going to see what we did a little bit in these clips Now we have Ellie the daredevil baby.

She's about to dive off of this chair Dive Ellie, dive. Jump in. You feeling it? I'm feeling it. Kind of like, I wanna be fun but I just don't have energy I'm so out of it, so like well maybe I'll just come and even just that I'm like wow I don't know if I can even just walk You know all day because it's like you want to explore and normally when you're not pregnant Just walking all day is no big deal. You know. Yeah. Before we went on our trip I took the glucose test and you guys know that I failed the first one so I went and I took the second one and I failed it.

GESTATIONAL DIABETES

So I have gestational diabetes. Not only that I was told it was going to be less concentrated, apparently it's gonna be more concentrated My belly is getting so big. Okay Alright, I have to be back at 9:15. They just drew my blood again I'm here for the three-hour test if I fail two out of the four tests that they're gonna do then I have it, so many of you are asking now what does it mean to have gestational diabetes? Like what are you gonna have to do? Like what are the changes you're going to have to make? So this is what I had to do.

 First, I'm going to make an appointment to see a nurse and a dietician and they brought me in for a two-hour appointment And I learned all about what I'm supposed to eat and what I'm not supposed to eat. Mostly it's controlling carbs and not eating too many of them, and if I want to eat I can pretty much you whatever I want But it just has to be portioned out and like measured out and made sure it's the right amount so that it doesn't make my blood sugar's just go all over the place and then after talking to the nurse she explained that I'm going to have to prick my finger four times a day and test my blood and here's a little clip of what that looks like So I pull this thing back and push the button minute folks I have to put this little thing in here first and wait for the blood drip sign, okay No, no, it didn't get me. I felt that.

Secrets To Getting LIVING WITH GESTATIONAL DIABETES WEEK 29 BABY To Complete Tasks Quickly And Efficiently

1. Gotta take the blood out the blood is not out yet mom, 87. Is it good or bad? It's good actually Also, something that I have to plan for now is having at least a weekly visit with the nurse so that she can check my blood sugar levels and make sure that everything is okay. If they get too out of hand or like too high I have to go on insulin or some medication that will help me to I get my blood sugar level down but right now my blood sugar level I've been checking so this is the second day that I've been able to prick my finger and test my blood and I haven't had it's been within the perfect range, so I haven't had any problems and I've been eating just like I should. It's been working, so I'm really really really really happy about that There's another thing that I need to do and that is check my ketone level and that is basically Making sure that I'm not losing weight because when I lose weight, in my urine Ketones come out It's pretty much acid, but when I'm pregnant like if I wasn't pregnant it wouldn't be a problem It would just be like getting rid of toxins and like helping me to lose weight but because I'm pregnant that acid actually dumps on the baby, and so it's really really bad it can hurt the baby back So I have to check my levels for that and make sure that I'm eating enough, so if I'm not eating enough Then I have ketone problems, if I ate too much, then I have a lot of other problems - There are some of the risks and this is just of gestational diabetes, it's not necessarily too high or too low, but just like having it be out of whack so this is what it is So the risks to the baby are a premature baby and part of the reason for that is the babies are unusually large.

2. They're growing the normal rate, but they're putting on a lot of weight I can't remember exactly how to explain it, but the babies put on a lot of fat and you have gestational diabetes. Also, they have trouble breathing. They won't necessarily have it for sure and they might not necessarily even put on a bunch of weight But when you have this problem, if it's not taken seriously And if it's not controlled in the right way, then those are the risks the baby can be born premature.

3. The bigger the normal and then they can have trouble breathing so those are the risks and then the risks to me and are I have an increased risk of developing preeclampsia Also, the C-section rate goes up a lot and then the possibility of developing type 2 diabetes after later in life like five to ten years down the road goes up really high too, so on the lighter note Let's talk about baby this week, babies So the baby can be as tall as 17 inches and can weigh 3 pounds at this point. The space in here is already starting to get cramped and so I'm not going to be feeling as been a huge kicks, but more like movement jabs and pokes. Instead of those hard kicks.

4. It's a little jazzy After talking to a nurse, I found out the reason why I have gestational diabetes and it can be a whole bunch of different things, there are a whole bunch of different factors and things including like your race and your age and things like that But my reasoning, I didn't have anything on the list except for one thing And it's my mom She has gestational diabetes and so now I have it That's the only thing. That's the only reason that I got it and so I think it's just a genetics thing at this point That's all we know as to why I have it I'm learning so much about like what I can eat, what I can't and mostly it's carbs. Controlling carbs because carbs turn to sugar in the bloods like immediately and you didn't like don't eat sugar But you can have sugar, but you just have to like eat it in moderation.

5. There's so many things, I was so overwhelmed in the hospital when I went, I was like ah so much to learn And I just, I hope I can do and I've been doing pretty good I think I've been doing really good considering my blood level, blood sugar levels have been really good So the things that have changed, I have to have a meal plan and control my carbs, not calories, carbs I have to self test my blood sugar And I have to exercise consistently because insulin might not work in my blood, but if I exercise It's like a backdoor and the insulin is able to get into the cell or whatever something like that Exercise helps, that's the main point.

All right Let's do some belly time. Wait guys, before belly time I have to show you a trick. Do you guys want to know a secret? So this is my trick when my pants are getting too small, and I don't want to button them up anymore I just take a little rubber band like that, and I put it in my buttonhole right here, and then I loop it through and that gives me a little bit of elastic and a little bit of give so that my pants will stay up But that I so that my circulation isn't getting caught up either. So there's a little trick for you So here is my belly weak 29. We have two weeks of growth here, and my belly is feeling so big I'm actually already five pound heavier than I was when I delivered James At my due date - All right, here's my buddy. 

If you liked this article, then please share to social networking site. You can also find us on Facebook, Twitter, Google Plus, Pinterest  and Instagram.

Also Read this

• 2 Things You Must Know About DIABETES AND PREGNANCY
• 3 Mistakes In DIABETES INSIPIDUS That Make You Look Dumb !

Also coming soon the following new topics as below:-

1. Gestational Diabetes Diet.

2. Gestational Diabetes Symptoms. 

3. Gestational Diabetes Test. 

4. Gestational Diabetes Diet Plan.

5. How To Get Rid Of Gestational Diabetes During Pregnancy.

6. Gestational Diabetes Causes.

7. Gestational Diabetes Effects On Baby.

8. Warning Signs Of Gestational Diabetes