DIABETES INSIPIDUS

Presented by-
Akansha
Student,B.sc. Nursing
3rd semester
CON,Dr.RMLIMS
 DEFINITION
Diabetes insipidus is a disorder of the
posterior lobe of the pituitary gland that is
characterized by a deficiency of antidiuretic
hormone i.e.ADH/vasopressin.
 ETIOLOGY
The cause may lie in:
 Types Etiology
CENTRAL
Interference with ADH synthesis,
(Neurogenic)
transport or release
DIABETES INSIPIDUS

NEPHROGENIC Inadequate renal response to ADH

DIABETES INSIPIDUS Despite presence of adequate ADH.

PRIMARY DIABETES
This results from excessive water intake.
INSIPIDUS
 Clinical manifestations
 Polyuria
 Polydipsia
 Inherited DI
 COMMON SYMPTOMS
 Nocturia
 Frequent urination where excessive dilute urine is excreted.
 Bed-wetting
 Inconsolable crying in children
 Dizziness
 Weakness and fatigue
 Weightloss
Pathophysiology
DIAGNOSTIC FINDINGS
 URINE ANALYSIS shows colourless urine with low osmolarity and low specific
gravity
 Serum SODIUM level is greater than 145mEq/L.
 Serum VASOPRESSIN level is decreased.
 ADH test shows absent or below normal level.
 MRI of brain rules out a tumor or another abnormality.
 MANAGEMENT
MEDICAL MANAGEMENT

 To replace ADH.
 To ensure adequate fluid replacement.
 To identify and correct the underlying intracranial pathology.
 To correct nephrogenic causes.
 NURSING
MANAGEMENT
 Anxiety
 Coping impairment
 Electrolyte imbalance
 Knowledge deficiency
 Hypovolemia
 Skin integrity
 SUMMARY

Prevalence is very low.This is the disorder of posterior lobe of pituitary gland

Patient have symptom of polydipsia,polyuriathat may be due to neurogenic
tets.
It is treated with vasopressin or either different management approaches ac