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1 page/β‰ˆ275 words
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APA
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Health, Medicine, Nursing
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Essay
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English (U.S.)
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Topic:

Syndrome of Antidiuretic Hormone (SIADH)

Essay Instructions:

Scenario 1: Syndrome of Antidiuretic Hormone (SIADH)
A 77-year-old female was brought to the clinic by her daughter who stated that her mother had become slightly confused over the past several days. She had been stumbling at home and had fallen twice but was able to walk with some difficulty. She had no other obvious problems and had been eating and drinking. The daughter became concerned when she forgot her daughter’s name, so she thought she better bring her to the clinic.
HPI: Type II diabetes mellitus (DM) with peripheral neuropathy x 30 years. Emphysema. Situational depression after death of spouse 6-months ago
SHFH: - non contributary except for 40 pack/year history tobacco use.
Meds: Metformin 1000 mg po BID, ASA 81 mg po qam, escitalopram (Lexapro) 5 mg po q am started 2 months ago
Labs-CBC WNL; Chem 7- Glucose-102 mg/dl, BUN 16 mg/dl, Creatinine 1.1 mg/dl, Na+116 mmol/L,
K+4.2 mmol/L, CO237 m mol/L, Cl-97 mmol/L.
The APRN refers the patient to the ED and called endocrinology for a consult for diagnosis and management of syndrome of inappropriate antidiuretic hormone (SIADH).
Question:
1. Define SIADH and identify any patient characteristics that may have contributed to the development of SIADH

Essay Sample Content Preview:

Endocrine Disorders-Scenario 1: Syndrome of Antidiuretic Hormone (SIADH)
Name
Department
NURS 6501
Instructor
Due Date
Endocrine Disorders-Scenario 1: Syndrome of Antidiuretic Hormone (SIADH)
. 1. Define SIADH and identify any patient characteristics that may have contributed to the development of SIADH
The syndrome of inappropriate antidiuretic hormone (SIADH) occurs when there are high levels of antidiuretic hormone (ADH). The high ADH levels interfere with renal free water and cause low sodium levels (hyponatremia) and hyposmolality (McCance & Huether, 2018). When water intake is higher than the reduced urine output, water retention results in hyponatremia (Mentrasti et al., 2020). The ADH hormone is helpful for the kidneys in conserving water, and SIADH impairs water excretion. Sometimes diabetes mellitus can cause hyponatremia linked to osmotic diuresis, affecting urine sodium concentration (Liamis et al., 2017). When the ADH fails to work properly, fluid body retention increases.
Medications such as certain drugs for diabetes type 2, antidepressants, blood pressure drugs, heart anticonvulsants, anesthesia, and surgery under general anesthesia are some of the causes of SIADH. Diseases affecting the hypothalamus or pituitary gland also increase the risk of SIADH. Metformin in the biguanides class of drugs ...
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