Inappropriate Antidiuretic Hormone

Inappropriate Antidiuretic Hormone
Name
Institution
Inappropriate Antidiuretic Hormone
Inappropriate antidiuretic hormone commonly shortened as SIADH is a disorder characterized by hypo-osmolality and hyponatremia a condition caused by inadequate and continued secretion of the hormone antidiuretic known as arginine vasopressin, this takes place despite the normal or increased volume of plasma, the result is an increased water excretion. To understand the symptoms and pathophysiology of SIADH one needs to be aware of the hypernatremia as a function of excess water as opposed to sodium deficiency (Melexopoulou et al., 2018).
As a disorder of reduced balance of sodium and water, the characteristics or syndromes of SIADH include hypotonic hyponatremia which manifests in impaired dilution of the urine not caused by any urinary tract infection. Some of the main symptoms of SIADH include the release in excess the antidiuretic hormones from posterior pituitary gland which results into the overload of fluid which leads to dilution of hyponatremia (Nakano et al., 2017).
The main symptoms of SIADH depend on the magnitude of the rate of development of hyponatremia. In general, they include symptoms that suggest secretion in excess the AVP which leads to chronic pain or pulmonary tumor. The second symptom entails excessive fluid intake and finally bounding pulse. The primary nursing diagnosis of SIADH includes the restoration of normal electrolyte and fluid balance which will result in the standard body fluid concentration (McCance & Huether, 2014).

This calls for treatment that will result in rectifying the underlying causes. A physician in case of failure of this first diagnosis should prescribe an intravenous infusion of not more than 5 percent of the saline solution. This procedure calls for caution like placing the patient on the injection controlled device. Finally, it is best to maintain an airway if the victim shows signs of seizure activities as a result of low serum sodium levels.

References
McCance, K. L., & Huether, S. E. (2014). Pathophysiology: The biologic basis for disease in adults and children. St. Louis, Missouri: Elsevier, (2014)
Melexopoulou, C., Pavlopoulou, I., Zormpala, A., Daikos, G., Boletis, J., & Marinaki, S. (2017). Syndrome of Inappropriate Antidiuretic Hormone Secretion Complicating Systemic Nocardiosis in a Renal Transplant Recipient: A Case Report. Transplantation Proceedings, 49(10), 2368-2371.
Nakano, T., Motoshita, J., Sawada, F., Okabe, M., Tamae, A., Hiramatsu, S., & … Nakagawa, T. (2017). Syndrome of inappropriate antidiuretic hormone secretion in a case of olfactory neuroblastoma without anti-diuretic hormone immunoreactivity: A case report and review of the literature. Auris Nasus Larynx, 44(6), 771-774.