Medical Alert Card - English

_____________________________________________ has
Nephrogenic Diabetes Insipidus
This is a kidney disease and not Diabetes Mellitus.
MUST HAVE EASY ACCESS TO DRINKING WATER AND TOILET

In any medical situation, check and follow electrolytes and plasma osmolality.
High urinary water loss causes a water deficit - rehydrate orally with water when possible. Otherwise rehydrate intravenously with dextrose in water (e.g. D2W or D5W) or with quarter-normal saline (0.22%). Rehydration with normal saline (0.9%) may cause seizures or even death.
Use normal saline (0.9%) only for fluid resuscitation of acute blood loss or shock, then switch to low salt solutions.
Individual clincial situations differ. Contact a Nephrologist or Endocrinologist for assistance.