Syndrome of Inappropriate Antidiuertic hormone (SIADH) and Diabetes Insipidus (DI). *Video content correction added in comments* For more fun information, visit / tootrn or www.tootRN.com
Another great video breaking complex nursing concepts into simpler smaller easy to understand pieces!!! Thanks so much TootRN! Another awesome video and so simple!!! Thanks Jannah!!!
You are amazeballs!... I WISH you were my instructor during nursing school. THANK YOU for taking the time out of your life to create these videos. So grateful & truly appreciative. :)
Thank you soooooooo much I spent all this time at school program being confused and unclear about this and you just explained I in 13 minutes wow you truly are amazing ! Thank you again
** Mistake noted! I need to make a correction in my statement of edema and hypertension: Cerebral edema can be seen, generally not peripheral… this would be a very late and severe sign. In GENERAL, increased ADH causes water retention without extracellular fluid volume expansion (so, generally no peripheral edema and increase in pressure- however, there are some severe cases of rapid onset that this may be present). The water retention causes hyponatremia -> key feature in SIADH. A problem of water metabolism vs. no abnormalities in total body sodium metabolism. Though there is an increase in total body fluid, the easiest way to think of it is: it’s evenly dispersed throughout the compartments -> euvolemic hyponatremia. Sorry for the confusing mistake I noticed today! **
+tootRN, LLC. Great video! I just want to say that the reason that someone is EUVOLEMIC is because RAAS system is still working, meaning aldosterone is still working on the kidney. as they retain lots of fluid, they trigger the RAAS and therefore aldosterone causes the kidneys to respond by getting rid of sodium. this exacerbates the hyponatremia and also keeps them from getting too volume up. Thanks for making these videos, I am a resident MD and the videos are helping me review the material so I can teach medical students! Keep up the good work!
thank you! clear, less confusing and to the point. Only question is wouldn't you also treat the blood pressure with vasopressin or desmopressin with DI and would you give anti hypertensives with SIADH?
Hi tootRNA very informative video which provided me with better understanding of SIADH and DI.A question I would like to ask you about the syndrome related to DI. I drink less fluid but my fluid output is high. My BP is fine but I don't feel thirsty/ dehydrated. After drinking a hot drink I have to run to the toilet to empty it.
I read that... Lowering sodium diet no more than 3g of sodium per day which helps decrease urine output for DI patients. I don't understand why treat DI with sodium if their sodium is already high. Do you mind explaining this? - Thank you!