In this 5th lesson, we compare DI vs SIADH. Diabetes Insipidus vs Syndrome of Inappropriate Anti Diuretic Hormone secretion. These are the 2 most common disorders of ADH that we will see in the ICU, and while they both deal with the same hormone, they are quite different from one another.
We start off with a quick review of the pathophysiology of ADH in our bodies before diving in the talking about Diabetes Insipidus (DI). We explain that this is from an insufficient amount or inadequate response to ADH and how this leads to massive urine output and volume loss. We talk about the different types, causes and patho for each before moving on to talk about the signs and symptoms you'd see, primarily related to the volume loss and hypernatremia. Finally we talk about how we diagnose DI as well as the treatment for diabetes insipidus.
Next we move on to talk about SIADH and how this is as a result of having too much ADH available, leading to no water excretion and essentially fluid overload and water intoxication. Again we quickly cover some of the MANY causes of SIADH and briefly hit on the patho for this one as well. Next we talk about the signs and symptoms and how we can divide these up in the early/mild and late/severe symptoms and what marks the difference between these. We also talk about the diagnosis before again moving on to talk about the treatment modalities for these patients.
Hopefully at the end of this less you will have a better understand of each of these disorders and how to not only recognize them in your patients, but how to properly treat them, as they both can be life threatening.
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Coming up in the next and last lesson, we will be taking a look at Thyroid Storme vs: *COMING SOON*
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Track: whogaux - i don't care [NCS Release]
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Watch: • whogaux - i don't care...
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