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Hyponatremia.pdf

ACTIVE LEARNING TEMPLATES TherapeuTic procedure A11

System Disorder STUDENT NAME _____________________________________

DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________

ACTIVE LEARNING TEMPLATE:

ASSESSMENT SAFETY CONSIDERATIONS

PATIENT-CENTERED CARE

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem

Health Promotion and Disease Prevention

Risk Factors Expected Findings

Laboratory Tests Diagnostic Procedures

Complications

Therapeutic Procedures Interprofessional Care

Nursing Care Client EducationMedications

  1. STUDENT NAME: Kehinde Salami
  2. DISORDERDISEASE PROCESS: Hyponatremia
  3. REVIEW MODULE CHAPTER: 5
  4. Pathophysiology Related to Client Problem: one or more factors — ranging from an underlying medical condition to drinking too much water — cause the sodium in your body to become diluted.
  5. Health Promotion and Disease Prevention: Treat associated conditions, drink water in moderation, precautions during high intesity activities
  6. Risk Factors: Kidney disease. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) Heart failure. Diabetes insipidus. Cushing's syndrome.
  7. Expected Findings: Dry mucous membrane, decreased skin turgor, hypotension (orthostatic), tachycardia
  8. Laboratory Tests: Three laboratory tests—serum osmolality, urine osmolality, and urinary sodium concentration—are essential in the evaluation of patients with hyponatremia.
  9. Diagnostic Procedures: The nurse will do a diagnostic workup if your blood sodium is low. The workup will include measuring urine sodium, potassium and creatinine concentrations.
  10. Nursing Care: Restrict fluid intake and in some cases administer diuretics to excretion the extra water rather than sodium to help concentrate the sodium. If the patient has renal impairment they may need dialysis.
  11. Therapeutic Procedures: Intravenous fluids. The doctor may recommend IV sodium solution to slowly raise the sodium levels in your blood.
  12. Medications: Diuretics. Furosemide (Lasix) Antibiotics. Arginine Vasopressin Antagonists
  13. Client Education: Limit your intake of fluids. Ask your healthcare provider what you should use to replace fluids if you are throwing up. Keep all follow-up appointments.
  14. Interprofessional Care: Hyponatremia may be managed clinically by different specialists, such as endocrinologists, nephrologists, geriatricians, or intensivists, and, accordingly, management strategies often vary
  15. Alterations in Health: Hyponatremia is a condition where sodium levels in your blood are lower than normal.
  16. Safety Considerations: Treat associated conditions. ... Educate yourself. ... Take precautions during high-intensity activities. ... Consider drinking sports beverages during demanding activities. ... Drink water in moderation
  17. Complications: rhabdomyolysis, seizures, permanent neurologic sequelae related to ongoing seizures or cerebral edema, respiratory arrest, and death