So I took care of a patient with a mid-brain cavernoma this past week and only medical doctors were on the case ( no neuro consult ). So my patient has a change of condition, has increased headache with dizziness which is new. Did a focused neuro assessment called doctor. No new orders. To quote the doctor " just keep an eye on the patient". Next day, I have same pt. and I see on the I&O sheet that on night shift the patient had oral intake of 8100 . Output for nights was 3000. This is not including IV intake of 600. So I talk to pt who is complaining of increased thirst and how irritated he/she is to be having to void so much, but can't stop drinking water. I called the MD again. New orders to cap IV?So my question now is : What the *#@*^? I was thinking the docs would order labs, maybe a stat CT or MRI, come check on patient, order a neuro consult, check for developing SIADH or DI or water intoxication? Something? Am I completely wrong? Ok, done venting. What do you think?