Adipsia Follow-up

Updated: Dec 13, 2018
  • Author: Vikas R Dharnidharka, MD, MPH; Chief Editor: Craig B Langman, MD  more...
  • Print
Follow-up

Further Outpatient Care

See the list below:

  • Monitor the serum electrolyte levels in order to ensure adequate fluid intake. The level of comprehension and compliance of the patient and parents determines the frequency of the visits.

  • In children with normal aqueous vasopressin (AVP) secretion, measuring urine osmolality may be sufficient for follow-up care. The goal of a urine osmolality is 400-600 mOsm/kg H2 O.

Next:

Further Inpatient Care

See the list below:

  • Patients with adipsia must remain in the hospital until hypernatremia is diagnosed and corrected and until the patient is able to maintain fluid and electrolyte homeostasis.

Previous
Next:

Transfer

See the list below:

  • Patients who are unable to achieve an adequate fluid intake may be transferred to a chronic care facility where they can be kept under close supervision and receive behavioral therapy.

Previous
Next:

Complications

See the list below:

  • Existing neurological deficits can be exacerbated by acute episodes of severe hypernatremia and cerebral hemorrhage.

  • Extrarenal losses of volume during episodes of gastroenteritis, more common in children, may lead to rehospitalization for worsening hypernatremia or other disorders of serum electrolytes.

Previous
Next:

Prognosis

See the list below:

  • Prognosis is unfavorable unless behavioral therapy is successful. Most patients remain homebound or institutionalized and may develop further neurological handicaps.

Previous