353 Nursing Management in F&E
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What is the nursing management for hypovolemia/hypervolemia?
- -monitor I and O
- -Monitor Cardio and respiratory changes
- -Take daily weight
- -Skin assessment
- -Check neurologic function
What is the nursing management for Hypernatremia?
- -Treat underlyign cause
- -Oral fluids cannot be ingested, IV of 5% dextrose in water or hypotonic saline
What is the nursing management for hyponatremia?
- -Fluid restriction if water is excess
- -Give small amounts of IV hypertonic saline solution (3% NaCl)
- - Abnormal fluid loss, replace with sodium containing solution
What is the nursing management for hyperkalemia?
- -Elminate oral and parenteral K intake
- -Increase elimination of K by diuretics, dialysis, Kayexalate
- -Force K from ECF to ICF by IV insulin or sodium bicarbonate
- -Reverse membrane effects of high K by administering calcium gluconate IV
What is the nursing management for hypokalemia?
- -KCL supplements orally or IV
- -Should not exceed 10-20 meq/hr
What is the nursing management for hypercalcemia?
- -Excretion of Ca with loop diuretic
- -Hydration with isotonic saline infusion
- -Synthetic calcitonin
What is the nursing management for hypocalcemia?
- -Treat cause
- -Oral or IV calcium supplements, NOT IM
- -Treat pain and anxiety to prevent hyperventilation induced respiratory alkalosis
What is the nursing management for hyperphosphatemia?
- -Identify and treat underlying cause
- -Restrict foods and fluids containing phosphorus
- -Adequate hydration and correction of hypocalcemia conditions
What is the nursing management for hypophosphatemia?
- -Oral supplementation
- -Ingestion of foods high in phosphorus
- -IV administration of sodium or potassium phosphate
What is the nursing management for hypermagnesemia?
- -Emergency treatment-IV CaCL or calcium gluconate
- -Fluids to promote urinary excretion
What is the nursing management of hypomagnesemia?
- -Oral supplements
- -Increase dietary intake
- -Parenteral IV or IM magnesium when severe
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