electrolytes - NUR305/314Electrolytes Electroltye...

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NUR 305/314 Electrolytes Electroltye What it does Hypo Hyper Symptoms Treatment Sodium (Na + ) 136-145 mEq/L ECF cation A shift in  Na, triggers a  fluid volume  change to  restore normal  solute and  water ratios Helps  maintain acid- base balance Activates  nerve and  muscle cells,  involved in  muscle  contraction  and the Na + /K pump Influences  H 2 distribution  with Cl- Regulated  by the kidney  through  tubular  reabsorption Aldosteron SIADH- decreased renal  excretion of  water Diuretics in  combo with a  patient on a low  Na +  diet Excessive  sweating GI wound  drainage Decreased  secretion of  aldosterone Renal  disease Burns Diabetes Insipidus Hyperaldosteronis m Cushing’s  syndrome Inadequate fluid  intake High protein  feedings without free  water Osmotic diuretics Hypo: Sleepiness Weakness Lethargy N/V or  anorexia Behavioral  and personality  changes Decreased  tendon reflexes Headache Hyper: Increased  thirst Irritability,  restlessness confusion,  agitation Both: Seizures Coma Hypo: Fluid  restriction Hyper: Push fluids D5W Inspect for  edema Both: Monitor I/O,  VS, Wt., lab  values, urine  Na + , specific  gravity
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e , a hormone  secreted by the  adrenal cortex,  works to  increase the  reabsorption of  Na +  by the  kidney Natriuretic  peptides  increase Na and water  excretion
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Electroltye What it  does Hypo Hyper Symptoms Treatment Chloride (Cl-) 98-106 mEq/L M ain  ECF  anion EC osmol ality Af fects  body  pH by  playin g a  vital  role in  acid- base  balanc e,  combi ning  with  H-  ions to  produ ce  HCL Pa ssive  Prolonged  vomiting,  excessive GI  suctioning,  diarrhea, perfuse  sweating Diuretics Low sodium  diets Excessive  administration of  bicarb Hypernatremia Metabolic acidosis Ingestion of salicylate,  ethylene glycol, or methanol Hypo: Hypoventila tion Tetany Paresthesia  of the  extremities Restless,  confusion,  convulsions Hyper: Hyperventil ation to  blow off  excess  carbon  dioxide Hypotensio n Decreased  cardiac  output Peripheral  vasodilation Headache Lethargy Hypo: Increase NaCL  in the diet Correct GI  symptoms Seizure  precautions Hyper: Correct fluid  imbalance by  giving IV fluids Give sodium  bicarb and  corrects pH Monitor patient’s  level of  consciousness  and respiratory  status
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transp ort,  follow s Na +
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Electrolty e What it does Hypo Hyper Symptoms
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electrolytes - NUR305/314Electrolytes Electroltye...

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