Diabetes insipidus is a problem that affects the person’s urine and feelings of thirst. When someone with diabetes insipidus is using the bathroom, their urine is diluted more than normal with the fluids in the body. This, in turn, causes the body to feel thirsty because a lot of their fluids are being used to dilute the urine. A person’s body may secrete about 20 liters of urine every day.
Besides dehydration, there may be other signs and symptoms felt by the inflicted patient. These include blurred vision, diarrhea and appetite problems. Some of the causes include cranial surgery and head trauma among many other things. When a nurse is assessing someone who she knows has suffered from diabetes insipidus, she would be happy if the person’s fluid intake is less than 2,500 milliliters per day.
Fluid intake is less than 2,500 ml/day.-rationale: diabetes insipidus is characterized by polyuria (up to 8 l/day), constant thirst, and an unusually high oral intake of fluids. treatment with the appropriate drug should decrease both oral fluid intake and urine output. a urine output of 200 ml/hour indicates continuing polyuria. a blood pressure of 90/50 mm hg and a heart rate of 126 beats/minute indicate compensation for the continued fluid deficit, suggesting that treatment hasnt been effective.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: analysisreference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1448.