02.04 Chloride-Cl (Hyperchloremia, Hypochloremia) Nrsng PDF

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Summary

FLUIDS AND ELECTROLYTES...

Description

Overview 1. Normal Range a. 96-108 mEq/L

Nursing Points General 1. Main Functions a. Most abundant extracellular anion b. Works with Na to maintain uid balance c. Binds with H → HCl → stomach acid d. INVERSELY related to HCO3 e. DIRECTLY related to Na & K 2. Causes a. Hypochloremia i. Volume Overload 1. CHF 2. Water Intoxication ii. Metabolic Alkalosis iii. Actual “salt” losses: 1. Burns 2. Sweating 3. GI losses 4. Cystic Fibrosis 5. Addison’s Disease b. Hyperchloremia 1. Dehydration 2. Metabolic Acidosis 3. Acute Renal Failure 4. Cushing’s Disease

Assessment

c. Give 0.9% NaCl d. Look at other electrolytes (rare to be abnormal by itself) 2. Hyperchloremia a. Goal = correct imbalance b. Treat underlying cause c. Give Bicarb d. Avoid Na or NaCl intake i. Give LR for IV uids e. Look at other electrolytes (rare to be abnormal by itself)

Nursing Concepts 1. Fluid & Electrolyte Balance 2. Acid-Base Balance

Patient Education 1. Dietary restrictions – what is and is not allowed

Cornell Note-Taking System Instructions 1. Record: During the lecture, use the note-taking column to record the 2. Questions: As soon after class as possible, formulate questions based Writing questions helps to clarifymeanings, reveal relationships, esta Also, the writing of questions sets up a perfect stage for exam-studyin 3. Recite: Cover the note-taking column with a sheet of paper. Then, loo question and cue column only, say aloud, in your own words, the answ indicated by the cue-words. 4. Reect: Reect on the material by asking yourself questions, for exam facts? What principle are they based on? How can I apply them? How What’s beyond them? 5. Review: Spend at least ten minutes every week reviewing all your pre great deal for current use, as well as, for the exam. For more information, visit www.nursing.com/cornell

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