Medical Alert Card - English
Nephrogenic Diabetes Insipidus
This is a kidney disease and not Diabetes Mellitus.
MUST HAVE EASY ACCESS TO DRINKING WATER AND TOILET
- In any medical situation, check and follow electrolytes and plasma osmolality.
- High urinary water loss causes a water deficit - rehydrate orally with water when possible. Otherwise rehydrate intravenously with dextrose in water (e.g. D2W or D5W) or with quarter-normal saline (0.22%). Rehydration with normal saline (0.9%) may cause seizures or even death.
- Use normal saline (0.9%) only for fluid resuscitation of acute blood loss or shock, then switch to low salt solutions.
- Individual clincial situations differ. Contact a Nephrologist or Endocrinologist for assistance.