Registered Nurse: Hypernatremia Flashcards Preview

NRSG 102: Med Surg 1 > Registered Nurse: Hypernatremia > Flashcards

Flashcards in Registered Nurse: Hypernatremia Deck (23)
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1
Q

What is this?

A

Excessive sodium in the blood

2
Q

Sodium Levels in Hypernatremia?

A

> 145

3
Q

What is Hypernatremia

A

Is a water problem rather than a sodium problem. This is because when the body collects sodium, it causes a lot of water retention and this is what causes the patients problem

4
Q

Role of Sodium when it comese to Hypernatremia

A

There is a lot of sodium outside the cell and this attracts the water from inside the cell, which will cause water to move outside the cell and dehydrate the cell. Sodium also plays a role un muscle, nerves, and organ functions

5
Q

Saying for Causees of Hypernatremia?

A

“High Salt”

6
Q

“(H)igh Salt”

A

Hypercortisolism (Cushing’s Syndrome), hyperventilation

7
Q

“H(I)gh Salt”

A

Increased intake of sodium (oral or IV route)

8
Q

“Hi(g)h Salt”

A

GI feeding (tube) without adequate water supplements

9
Q

“Hig(h) Salt”

A

Hypertonic solutions

10
Q

“High (S)alt”

A

Sodium excretion decreased (body keeping too much sodium) and corticosteroids

11
Q

“High S(a)lt”

A

Aldosterone overproduction (Hyperaldosteronism)

12
Q

“High Sa(l)t”

A

Loss of fluids (dehydrated) infection (fever), sweating, diarrhea, and diabetes insipidus

13
Q

“High Sal(t)”

A

Thirst impairment

14
Q

Saying for Signs & Symptoms of Hypernatremia

A

“No FRIED food for you” (too much salt)

15
Q

“No (F)RIED food for you!”

A

Fever ,Flushed skin

16
Q

“No F(R)IED food for you!”

A

Restless, really agitated

17
Q

“No FR(I)ED food for you!”

A

Increased fluid retention

18
Q

“No FRI(E)D food for you!”

A

Edema, Extremely Confused

19
Q

“No FRIE(D) food for you!”

A

Decreased Urine Output, Dry Mouth/Skin

20
Q

What do you restrict in hypernatremia?

A

Restrict sodium intake! Know foods high in salt such as bacon, butter, canned food, cheese, hot dogs, lunch meat, processed food, and table salt.

21
Q

Patient safety with hypernatremia?

A

Keep patient safe because they will be confused and agitated.

22
Q

Nursing Intervention for Hypernatremia?

A

Doctor may order to give isotonic or hypotonic solutions such as 0.45% NS (which is hypotonic and most commonly used). Give hypotonic fluids slowly because brain tissue is at risk due to the shifting of fluids back into the cell (remember the cell is dehydrated with hypernatremia) and the patient is at risk for cerebral edema. In other words, the cell can lyse if fluids are administered too quickly.

23
Q

Education for Hypernatremia?

A

Educate patient and family about sign and symptoms of high sodium level and proper foods to eat.

Decks in NRSG 102: Med Surg 1 Class (52):