SIADH
SIADH
SIADH
Germany), vasopressin
Antidiuretic Hormone (SIADH)
Oxytocin
Overview
Chlorpropamide
Antidiuretic hormone (ADH) is produced
Clofibrate
by an area of the brain called the
2. Conditions can trigger abnormal ADH
hypothalamus. This hormone is stored in
production, including:
and released by the pituitary gland.
brain infections
ADH controls how your body releases
and conserves water. bleeding in or around the brain
head trauma
Excess production of ADH (also called
Vasopressin), is called syndrome of hydrocephalus
inappropriate antidiuretic hormone (SIADH) Guillian-Barre syndrome
IADH makes it harder for your body to multiple sclerosis
release water. infections including HIV and Rocky
SIDAH causes levels of electrolytes, like Mountain spotted fever
sodium, to fall as a result of water cancers of the lung or gastrointestinal or
retention. genitourinary tract, lymphoma, sarcoma
A low sodium level or hyponatremia is a lung infections
major complication of SIADH and is asthma
responsible for many of the symptoms of cystic fibrosis
SIADH. medications
Early symptoms may be mild and include anesthesia
cramping, nausea, and vomiting. In hereditary factors
severe cases, SIADH can cause confusion, sarcoidosis
seizures, and coma.
Treatment usually begins with limiting Symptoms of SIADH
fluid intake to prevent further buildup. SIADH makes it difficult for your body to
Additional treatment will depend on the get rid of excess water. This causes a buildup of
cause. fluids as well as abnormally low sodium levels.
“ectopic ADH secretion.” – other name of
SIADH. Symptoms may be mild and vague at first, but tend
to build. Severe cases may involve these symptoms:
Possible Cause
1. Drugs that may cause SIADH. irritability and restlessness
Antidepressant agents (selective loss of appetite
serotonin reuptake inhibitors, tricyclic cramps
antidepressants)’ nausea and vomiting
Carbamazepine, oxcarbazepine muscle weakness
Cyclophosphamide, ifosfamide confusion
Hydrochlorothiazide, thiazides hallucinations
Nonsteroidal anti-inflammatory drugs personality changes
Vincristine seizures
Neuroleptic agents stupor
coma
Symptoms and findings in hyponatremia Your age, overall health, and medical
[Adrogué, 2005]. history
Extent of the disease
Mild to moderate Your tolerance for specific medications,
Headache, procedures, or therapies
lethargy, Expectations for the course of the disease
slowness, Your opinion or preference
poor concentration,
depressed mood, The most commonly prescribed treatment for
lack of attention, SIADH is fluid and water restriction. If the
condition is chronic, fluid restriction may need to be
impaired memory,
permanent. Treatment may also include:
nausea,
Certain medications that inhibit the action of
restlessness,
ADH (also called vasopressin)
instability of gait and falls,
Surgical removal of a tumor that is
muscle cramps, tremor
producing ADH
Advanced
Other medicines to help regulate body fluid
Confusion, volume
disorientation,
somnolence,
vomiting,
hallucinations,
acute psychosis,
limb weakness,
dysarthria
Grave
Seizures,
hemiplegia,
severe somnolence,
respiratory insufficiency,
coma,
death