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Reply To: Diabetes Insipidus and chemotherapy hydration
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
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——————————————- 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.