Teaching

=Patient/Family Educaton=

Client education includes the following:

 * ==Informing clients what to expect while undergoing specific procedures or diagnostic tests.==

Water deprivation test

 * Thoroughly explain the test to the patient and that they will have to withhold fluids for 8 to 16 hours before testing.
 * Reassure the patient that the test will be stopped if fluid volume deficit symptoms become severe.
 * In addition, advise the client to notify the the nurse of any dizziness, headache, or nausea.

Vasopressin test

 * Thoroughly explain the test to the patient and that they will be administered a subcutaneous injection of vasopressin which will help determine the client's specific gravity level. In addition, advise the client to notify the nurse of any dizziness, headache, or nausea.


 * ===Informing clients about specific medications.===


 * ADH replacement agents - Desmopressin acetate (DDAVP), aqueous vasopressin (Pitressin)
 * When administered in intranasal form, instruct the patient to sit upright and to clear the nasal passage prior to nasal inhalation.
 * Educate the client to notify the primary health care provider of a weight gain greater than 2 pounds in 24 hours.
 * In addition, if the client experiences a headache or confusion to notify the primary health care provider. Fluid restrictions will also be determined by the health care provider.
 * ADH stimulants - Carbamazepine (Tegretol)
 * This medication could cause gastric upset and should be taken with food.
 * Driving or operating heavy machinery should be avoided until the effects of the medication are determined.
 * The primary health care provider should be notified if a sore throat, fever, or bleeding occurs.


 * Vasopressin (Pitressin)
 * The nurse needs to stress to the cilent the importance of reporting any large amounts of urine output, significant weight gain, and excessive thirst to the health care provider.
 * Fluid restriction will be determined by the health care provider.
 * If a headache or confusion occur, instruct the patient to notify the health care provider.


 * ===Inform the client about care after discharge.===
 * ===The patient and family members should be provided with information about the following:===
 * Medication information should be included in discharge instructions.
 * Weight loss, dry/cracked lips, confusion, and weakness are all signs of dehydration, and the client should be educated on these symptoms.
 * Instruct the client to wear a medical alert wristband.
 * The client should be instructed to monitor their weight on a daily basis to monitor fluid levels.
 * A diet high in fiber and low in sodium should be followed by the client. A list of certain foods that can be included in this specific diet should be given to the client.If the client experiences any sign or symptom of diabetes insipidus, educate the client to seek medical attention and follow care instructions.
 * In addition, foods that exert a diuretic effect, such as caffeine, should be restricted or avoided.
 * The client should be encouraged to drink fluids in response to thirst, however, monitor fluid intake closely.
 * If signs or symptoms of water intoxication occur, restrict fluids and avoid consumption of alcohol.

(Wissman, 2007)