Overview
Introduction
Diabetes insipidus (DI) is a condition in which the body loses too much water through the kidneys because antidiuretic hormone (ADH), also called arginine vasopressin (AVP), is...
REx-PN
REx-PN
Diabetes insipidus (DI) is a condition in which the body loses too much water through the kidneys because antidiuretic hormone (ADH), also called arginine vasopressin (AVP), is missing or does not work. In 2022 international endocrine societies proposed new names: AVP deficiency for central DI and AVP resistance for nephrogenic DI. Many textbooks and exam items still use "diabetes insipidus," so the RPN should recognize both sets of terms. DI is not related to blood glucose. "Diabetes" refers to passing large volumes of urine, and "insipidus" means the urine is tasteless (dilute). Within the RPN scope set by the provincial regulator, the RPN role is to recognize polyuria and dehydration, measure intake, output and weight accurately, give desmopressin safely, report changes promptly to the RN or prescriber, and reinforce teaching for stable clients.
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