Hyperchloremia Flashcards
above what value is considered hyperchloremia?
about 105
what is the critical value for hyperchloremia?
115 or above
what are the 3 main causes of hyperchloremia?
- actual increase in chloride
- decreased secretion of chloride
- increase in chloride (dilution)
what kind of IV fluids would you use to correct hyperchloremia?
hypotonic solutions or Lactated Ringers (LR)
T or F: we would inforce a fluid restriction on someone who has hyperchloremia.
True
T or F: if chloride is high, bicarbonate is also high
False, chloride and bicarbonate have an inverse relationship
what signs and symptoms of hyperchloremia resulting in a decrease in LOC?
- lethargy
- weakness
- dyspnea
- coma
what respiratory signs and symptoms does hyperchloremia have?
- tachypnea
- dyspnea
what cardiac signs and symptoms does hyperchloremia have?
- hypertension
- arrhythmias
T or F: if chloride is high sodium and potassium are high also
True
what are 3 priority assessments with someone with hyperchloremia?
- neurological
- respiratory
- monitor labs/vitals/I&Os
what is one expected outcome with someone who has hyperchloremia?
decrease in chloride levels using hypotonic fluids
what is one potential complication with someone who has hyperchloremia?
cardiac arrhythmias
