Reply To: Diabetes Insipidus and chemotherapy hydration

  • Jason Morris

    October 27, 2022 at 7:00 pm
    This message was sent securely using Zix®

    Hi Wendy,

    We don’t have any set protocols for this situation as it does not happen often enough, and honestly, each of the patient’s DI expression seems to be a little unique. We do generally consult the patient’s primary endocrinologist for general recommendations/advice and make sure they know we will be utilizing hyperhydration during the admission. If any sodium imbalances occur or the patient is not voiding regularly, we may give the endo service a call.

    Jason Morris,  APRN, CPNP-AC/PC, CPHON
    Pediatric Nurse Practitioner
    Children’s Blood & Cancer Center at Dell Children’s Medical Center
    4910 Mueller Blvd, Suite 200 | Austin, TX 78723
    t: 512-628-1900 | f: 512-628-1901

    Dell Children's

    This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). If you are not the intended recipient(s), you are hereby notified that the dissemination, distribution, and or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at the email address above, delete this email from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege.

    This message was secured by Zix®.

    Original Message:
    Sent: 10/20/2022 3:47:00 PM
    From: Wendy Fitzgerald
    Subject: Diabetes Insipidus and chemotherapy hydration


    Does anyone have a protocol for managing chemotherapy hydration for ifosfamide for patients with diabetes insipidus on DDAVP? I feel like we are always re-inventing our process each time we get a patient like this and wondered if other centers have a more defined process.

    Thanks so much for your help!


    Wendy Fitzgerald, RN, MSN, PPCNP-BC

    Nurse Practitioner

    Oncology Department

    Children’s National Hospital

    111 Michigan Avenue, N.W.

    Washington, DC 20010

    Phone: 202-476-5836

    Department phone #: 202-476-2800


    Join us on Facebook, Twitter, YouTube, and Instagram

    Wendy Fitzgerald, CPON,MSN,RN
    Nurse Practitioner
    Silver Spring, MD
    United States