A patient suffering from a tumor in the hypothalamus produces excessive amounts of ADH, a condition called syndrome of inappropriateADH (SIADH) production. For this patient, the excessive ADH production is chronic and has persisted for many months. A student nursekeeps a fluid intake-output record on the patient. She is surprised tofind that fluid intake and urinary output are normal. What effect wasshe expecting? Can you explain why urinary output is normal?
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