MRCP UK EXAMINATIONS

RESPIRATORY

PATIENT WITH PREVIOUS LUNG SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
An important nursing intervention for the patient with SIADH
A
Bed rest.
B
Restrict of fluids.
C
A low sodium diet.
D
Safety and seizure precautions.
Explanation: 

Detailed explanation-1: -Fluid restriction is a priority in the management of SIADH, as the main issue with this disease is fluid excess and hyponatremia.

Detailed explanation-2: -Fluid restriction is the main stay of treatment, especially in SIADH. Fluid restriction to less than the urine output is the primary therapy in hyponatremia. Usual recommended fluid intake is less than 800 mg/day.

Detailed explanation-3: -The most commonly prescribed treatment for SIADH is fluid and water restriction. If the condition is chronic, fluid restriction may need to be permanent. Treatment may also include: Certain medications that inhibit the action of ADH (also called vasopressin)

Detailed explanation-4: -Fluid restriction that causes a negative fluid balance will increase the serum sodium concentration. To this end daily water intake (oral, intravenous, and metabolic production) must be lowered beyond daily water losses (skin, respiratory tract, stool, urine).

There is 1 question to complete.