ASL 101 Lecture Notes - Lecture 6: Desmopressin, Hypercalcaemia, Hypernatremia
Document Summary
Although diabetes insipidus and diabetes mellitus share a common first name they are very different diseases. This was extremely confusing as a new graduate nurse in an icu. Icu was in a large level one trauma center. We treated all traumatic head injuries in the western half of the state of iowa. We treated many patients for diabetes insipidus or siadh. Which i would come to learn had absolutely nothing to do with insulin. Both disease states are related to inefficiencies of hormones in the endocrine system. Di is a result of insufficient adh release and dm is a lack of insulin or a deficit or resistance to insulin. Ironically, the clinical manifestations are similar regardless of the differences of the hormones involved. In individuals suffering from di or dm they will demonstrate polyuria and polydipsia. Diabetes insipidus (di) is a disease of the posterior pituitary. Di may be transient or permanent depending on the type and causation.
