Oncology notes
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| What type of cancer is the most common cause of SIADH? | Carcinoma of the lung (Especially SMALL CELL LUNG CANCER)
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| What drug is given for SIADH? | Vassopressin
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| What other drugs often used in cancer clients can cause SIADH? | Morphine sulfate, cyclophosphamide
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| What is a common lab finding of SIADH? | Hyponatremia (decreased sodium levels)
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| Mild manifestations of SIADH will include these signs and symptoms? | weakness, muscle cramps, loss of appetite, fatigue, decreased urine output
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| What is the sodium level of a mild manifestation of SIADH? | Serum Sodium levels range from 115 to 120 mEq/L
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| What are the signs and symptoms of a SERIOUS manifestation of SIADH? | Weight gain, nervous system changes, personality changes, confusion, and extreme muscle weakness
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| A sodium level of 110 mEq/L causes what? | Seizures, coma and death
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| The drug most often used for SIADH is? | Demeclocycline
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| What kind of drug is demeclocycline? | antibiotic
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| What can demeclocycline cause in a patient's lab values? | hypernatremia; so watch serum sodium levels
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| What type of IV fluids do you give a person with SIADH? | HYPERtonic (D5NaCL; D5LR; D50.45%NaCL)
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| Name the primary treatments for management of SIADH? | Fluid restriction to l liter a day; increased sodium intake; drug therapy
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| What is a second method for managing SIADH? | Reduce or eliminate the cause such as immediate cancer therapy.
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| What is the cause of weight gain and personality changes in SIADH? | Fluid gets into the intracellular space which causes increased fluid retention and increases ICP
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| What is something that a nurse needs to get on a patient with SIADH everyday? | Daily weight
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