Unholy Sinner [R-18]

3 : SIADH

Syndrome of Inappropriate Anti-Diuretic Hormone

✔️⬆️ADH
✔️due to head trauma
✔️tumor

ASSESSMENT :
1. Fluid retention or h20 intoxication
2. Hyponatremia ( anorexia, n/v = EARLIEST SIGN)
3. Inc. urine spec gravity
4.  Dec LOC, weight gain, HPN, tachycardia, CHF

INTERVENTIONS :
1. Demeclocycline ( Declomycin)
2. Diuretics
3. Fluid restrictions - offer ice chips to pt. To relieve dry mouth.

⚜️🔱⚜️

Aviona

" Shit!" This is just one of those times in which I felt like catching my breath. Shortness of breath is always what I feel whenever I get to feel to much emotions. I cursed out loud when I saw my empty medicine kit. Ngayon ko lang napansin na ubos na pala iyung gamot ko.

Mabilis akong nag-ayos at lumabas ng apartment ko. I think I need to see my doctor. I haven't seen my doctor for months now. I'm sometimes hard headed but that doesn't mean that I don't value life at all because I do. I see life as something given and taken away. Kung oras mo na, then oras mo na.

" You need to be serious in your treatment regimens, Avi. Alam mo namang mahina ang puso mo" Kung mamamatay ako, edi iyun na iyun.

" Avi, you need to. Don't lose hope Aviona. This sickness will not turn you down. You're more than this. Remember" My doctor said. Totoo naman ang sinabi ng doktor ko pero hanggang saan ba ako puwedeng lumaban? Hanggang kailan? Nakakapagod ding lumaban minsan.

" I don't have any reason to live anymore, Doctor. I just want to live my life like how it used to be. Kung mamatay ako edi iyun na iyun." I said. My doctor sighed and looked at me.

" I hope you'll see a reason to live Avi." She said.

" Maybe my afterlife would somehow be better, Doctor." I smiled. She sighed once more.

After my visit to the doctor, I met up with my sister. Kapatid ko sa ama. Her name is Cassy Buenavista. And she's my father's daughter. We grew up in different shades of life. People accepted us differently but that doesn't change the fact that we are sisters. And I won't lie that she looks prettier than me.

" Alam mo ate, nakakakilig kahapon kase nginitian ako ng crush ko" Pagkukuwento sa akin ni Cassy.

" Naks! Sino nga kase iyung crush mo?" I asked again. Ayaw pa kase sabihin eh.

" Sige na nga ate. I'll tell you but don't tell anybody. This is just a secret ate" Wika sa akin ng aking kapatid.

Natawa naman ako ng bahagya.

" Sige nga. Who's the lucky guy" Tanong ko. My sister smiled and spoke once more.

" Luke Francis Villamor, ate. Iyung president ng supreme council. He's good. Mabait at palakaibigan. He's actually some kinda showing some feelings towards me. And alam mo ba ate sa katunayan I will accompany him later sa speech niya. Magsasalita din ako mamaya ate" She told me. Agad akong napamura sa sinabi ng kapatid ko. Small world really. I can see how genuine my sister's feelings for Luke is. I remembered Luke's event mamaya sa campus.

" Ahh siya pala iyun. The mighty Luke Francis Villamor. Iyung playboy ng school crush mo" I made it sound like a joke but truth is, I know that my sister is serious about it.

" Hindi naman ate. Talagang lapitin lang ng mga babae. Actually ate, I heard dad one time na kausap si Luke. I think dad wants him to be the next governor. I really like him ate. I think love ko na nga siya eh" Pain. That's what I felt from my sister's words. I know that I don't have the right to feel this way because and I should not feel anything towards Luke. I won't stay long anyway. Kaya kung anuman 'tong nararamdaman ko, I should not entertain it.

" Ahh I see. You look the prettiest when in love, Cassy" I smiled.

——