GuidelineCurrent
SfE 2018 — Inpatient Management of Cranial Diabetes Insipidus
Society for Endocrinology, 2018
Inpatient central diabetes insipidus requires reliable access to water when safe, timely desmopressin, close sodium/fluid monitoring, and urgent correction of volume depletion before free-water replacement when hypernatremic and hypovolemic.
Conditional recommendationModerate certainty
View source guidelineClinical Context & Relevant Topics (2)
Disease ReferenceArginine Vasopressin Deficiency (Central DI) & Polyuria in the ICU
ICU evaluation of hypotonic polyuria and hypernatremia with safe fluid replacement, desmopressin use, and differentiation of AVP deficiency from osmotic and nephrogenic causes.
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Severe Sodium Disorders: Hyponatremia & Hypernatremia
Tonicity assessment, etiologic classification, 3% hypertonic saline bolus protocols, individualized ODS-safe correction limits, DDAVP relowering, DI diagnostics, and evidence-aware hypernatremia correction.
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