Primary Nursing Diagnosis

Alteration in urinary elimination related to polyuria

OUTCOMES. Urinary elimination; Urinary continence; Knowledge: Disease process, Medication, Treatment regimen, Neurological status, Symptom control behavior, Symptom severity

INTERVENTIONS. Fluid management; Fluid monitoring; Urinary elimination management; Medication prescribing


The treatment of DI is primarily pharmacologic. In addition to medication, fluid replacement to maintain vascular volume is essential. Rapid correction of hypernatremia is potentially dangerous because of the possibility of a rapid shift of water into brain cells, which increases the risk of seizures or cerebral edema. The water deficit is corrected gradually over 2 to 3 days with water by mouth or nasogastric tube or intravenously with half- or quarter-isotonic saline.

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