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What are some causes of Hypo Na+ (2)
Decreased Na+ intake; Increased H2O intake.
What are some S/SX of FVD in hypoNatremia?
What are the S/SX of FVE in hypoNatremia?
<115 in Na+ serum can lead to death (increases ICP)
- Poor turgor
- Dry mucus
- Ortho HypoTN
- Ab. cramps
What are some Tx for hypoNatremia if d/t Na+ intake decrease? (solutions)
If hypoNatremia d/t increased H2O?
LR or NS.
If d/t H2O increase, RESTRICT fluids to 800 mL/day.
How do you manage hypoNatremia?
- Monitor I/O
- Diet: high in Na+ (tomato juice, beef broth).
What are some causes of hyperNatremia?
(which age group and types of Pts)
Elderly that are deprived of fluid.
Diarrhea, DM, burns.
What are some S/SX of hyperNatremia?
Severe hyperNatremia can cause brain damage.
- Behavior changes
How is hyperNatremia treated and managed?
Which medication removes Na+?
Hypotonic solution: 0.3% NaCl, 0.45% NaCl, D5W.
- Offer fluids frequently: PO, IV, NG.
- Diet: decrease Na+; daily weight.
Furosemide removes Na+.