{"id":544,"date":"2022-10-13T04:26:09","date_gmt":"2022-10-13T04:26:09","guid":{"rendered":"https:\/\/blogs.rch.org.au\/clinicalguide\/?p=544"},"modified":"2022-10-13T04:26:09","modified_gmt":"2022-10-13T04:26:09","slug":"updated-cpg-diabetes-insipidus","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/clinicalguide\/updated-cpg-diabetes-insipidus\/","title":{"rendered":"Updated CPG: Diabetes insipidus"},"content":{"rendered":"<p><span data-contrast=\"auto\">The <\/span><a href=\"https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Diabetes_insipidus\/\"><span data-contrast=\"none\">Diabetes insipidus CPG<\/span><\/a><span data-contrast=\"auto\"> has been updated and reviewed by the CPG committee and endorsed by the Paediatric Improvement Collaborative (July 2022). It includes new key points, background, assessment and management sections. There is additional detail on assessment and management of central versus nephrogenic causes of diabetes insipidus, as well as the inclusion of a new table to help differentiate causes.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The key points for the CPG are<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:135,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<ol>\n<li><span data-contrast=\"none\">Children with suspected or known diabetes insipidus (DI) must always have free access to water. Never restrict fluid intake<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Urine output may not reflect hydration status<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Close monitoring of electrolytes and fluid balance is required for inpatients with DI. This is particularly critical when children are too young or too unwell to adequately respond to thirst<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Beyond emergency resuscitation, sodium chloride containing fluids should never be given to children with nephrogenic DI without specialist consultation<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>The Diabetes insipidus CPG has been updated and reviewed by the CPG committee and endorsed by the Paediatric Improvement Collaborative (July 2022). It includes new key points, background, assessment and management sections. There is additional detail on assessment and management of central versus nephrogenic causes of diabetes insipidus, as well as the inclusion of a &hellip; <a href=\"https:\/\/blogs.rch.org.au\/clinicalguide\/updated-cpg-diabetes-insipidus\/\">Continued<\/a><\/p>\n","protected":false},"author":3942,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11797,28,9503,24433],"tags":[],"class_list":["post-544","post","type-post","status-publish","format-standard","hentry","category-individual-cpg-posts","category-news","category-newsletter","category-paediatric-improvement-collaborative-pic"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/544","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/users\/3942"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/comments?post=544"}],"version-history":[{"count":1,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/544\/revisions"}],"predecessor-version":[{"id":545,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/544\/revisions\/545"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/media?parent=544"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/categories?post=544"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/tags?post=544"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}