ATI System Disorder Hyponatremia PDF

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Summary

ATI System Disorder Template Worksheet on Hyponatremia...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Jaime Hanzlik ST UDENT NAME _____________________________________ Hyponatemia DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Water moves from the ECF into the ICF, which causes the cells to swell (cellular edema)

A net gain of water or loss of sodium-rich fluids that result in sodium levels less than 136 mEq/L

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Stay hydrated, take medications as directed.

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Actual sodium deficits: excessive sweating, diuretics, kidney disease, hyperglycemia, etc. Relative sodium deficits due to dilution: hypotonic fluid excess, freshwater submersion accident, kidney failure, heart failure, etc.

Laboratory Tests

Depends on the ECF volume. Hypervolemiabounding pulse, tachycardia, hypotension, orthostatic hypotension. Headache, confusion, muscle weakness, increased GI motility, hyperactive bowel sounds, cramping.

Diagnostic Procedures

Decreased blood sodium, decreased blood osmolarity, irregular urine sodium, and decreased urine specific gravity.

Basic metabolic panel, physical exam performed by physician.

PATIENT-CENTERED CARE

Nursing Care Monitor I&O and daily weight, monitor vital signs and LOC, restrict fluid intake, restoration of normal ECF volume

Complications Medications Diuretics: captopril, potassium chloride, furosemide, sodium chloride

Client Education Consume high sodium diet, monitor sodium intake, watch for excessive weight loss or gain.

Therapeutic Procedures

Interprofessional Care

Oral rehydration, IV fluids, take medications as needed/directed.

Nurtitionist, respiratory therapist for oxygen management, nephrology

ACTIVE LEARNING TEMPLATES

Daily weight checks to monitor for fluid overload, monitor vital signs every 4 hours, monitor for hypertension, monitor LOC every 2 hours.

Seizure, respiratory arrest, coma

THERAPEUTIC PROCEDURE

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