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HYPONATREMIA: Risk Factors
Medications |
GI loss |
Diuretics |
SIADH |
Anticonvulsants |
Adrenal insufficiency |
SSRIs |
NPO status |
Lithium |
Restricted-sodium diet |
Demeclocycline |
Water intoxication |
|
Excessive diaphoresis |
HYPONATREMIA: Manifestations
Weakness |
Lethargy |
Confusion |
Seizures |
Headache |
Anoerxia |
Nausea |
Vomiting |
Muscle cramps |
Twitching |
Hypotension |
Tachycardia |
Weight gain |
Edema |
HYPONATREMIA: Nursing Interventions
Sodium replacement (oral, GI tube, IV) |
Restrict oral fluid intake |
Weight the client daily |
Monitor I&O |
Medication: Conivaptan hydrochloride |
HYPONATREMIA: Notes
Risk with hypertonic solutions: cerebral edema |
|
|
HYPERNATREMIA: Risk Factors
Dehydration |
GI loss |
Hyperaldosteronism |
Hypertonic tube feedings |
Diabetes insipidus |
Kidney failure |
Burns |
Heatstroke |
Corticosteroids |
HYPERNATREMIA: Manifestations
Fever |
Swollen, dry tongue |
Sticky mucous membranes |
Hallucinations |
Lethargy |
Restlessness |
Irritability |
Seizures |
Tachycardia |
Hypertension |
Hyperreflexia, twitching |
Pulmonary edema |
HYPERNATREMIA: Nursing Interventions
Daily weight |
I&O |
Seizure precautions |
IV infusion of hypotonic or isotonic fluid |
Diuretics |
Dietary sodium restriction and education |
Increased oral fluid intake |
|
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