Question

the nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (siadh) and has serum sodium of 118 meq/l (118 mmol/l). which primary health care provider prescriptions would the nurse anticipate receiving? select all that apply.

Answer 1

Answer: a. Initiate an infusion of 3% NaCl

c. Restrict fluids to 800 mL over 24 hours

e. Administer a vasopressin antagonist as prescribed

Explanation: Clients with SIADH experience excess secretion of antidiuretic hormone (ADH), which leads to excess intravascular volume, a declining serum osmolality, and dilutional hyponatremia. Management is directed at correcting hyponatremia and preventing cerebral edema. Hypertonic saline is prescribed when the hyponatremia is severe. Fluid restriction is a useful strategy aimed at correcting dilutional hyponatremia. Vasopressin antagonists are used to treat SIADH (furosemide is only safe to use if the serum sodium is at least 125 mEq/L).