| |
|
|
|
Increased Hypothalmic Production
of ADH
1. Neuropsychiatric disorders
- Infections: meningitis, encephalitis, brain abscess
- Vascular: thrombosis, subarachnoid or subdural hemorrhage, temporal
arteritis, cavernous sinus thrombosis, stroke
- Neoplasm: primary or metastatic
- Skull fracture, traumatic brain injury
- Psychosis, delirium tremens
- Other: Guillain-Barré syndrome, acute intermittent porphyria,
autonomic neuropathy, postpituitary surgery, multiple sclerosis,
epilepsy, hydrocephalus, lupus erythematosus.
2. Drugs
- Intravenous cyclophosphamide
- Carbamazepine
- Vincristine or vinblastine
- Thiothixene
- Thioridazine, other phenothiazines
- Haloperidol
- Amitriptyline, other tricyclic antidepressants or serotonin-reuptake
inhibitors
- Monoamine oxidase inhibitors
- Bromocriptine
- Lorcainide
- Clofibrate
- General anesthesia
- Narcotics, opiate derivatives
- Nicotine
3. Lung
diseases and interventions
- Pneumonia
- Tuberculosis
- Lung abscess, empyema
- Acute respiratory failure
- Positive pressure ventilation
4.
Perioperative Period - associated with the stress response to
injury and pain
Ectopic (nonhypothalamic)
production of ADH
- Cancer: Small cell carcinoma of lung (2/3 of patients with small cell
have impaired water excretion), bronchogenic, duodenum, pancreas, thymus,
olfactory neuroblastoma, bladder, prostate, uterus
- Lymphosarcoma, reticulum cell sarcoma, mesothelioma, Ewing sarcoma
- Hodgkin's disease, leukemia
- Pulmonary tuberculosis
Potentiation of ADH effect
- Chlorpropamide
- Carbamazepine
- Psychosis
- Intravenous cyclophosphamide
- Tolbutamide
- Prostaglandin-synthesis inhibitors (salicylates, NSAIDS)
Exogenous administration of ADH
- Vasopressin, desmopressin
- Oxytocin
Copyright Patrick Neligan
2001-2002 |
|
|
|
|
|