Hypernatremia Flashcards
1
Q
What is the normal range
for sodium level?
A
135–145 mEq/L
2
Q
What are the surgical
causes?
A
Inadequate hydration, diabetes insipidus,
diuresis, vomiting, diarrhea, diaphoresis,
tachypnea, iatrogenic (e.g., TPN)
3
Q
What are the signs/
symptoms?
A
Seizures, confusion, stupor, pulmonary or
peripheral edema, tremors, respiratory
paralysis
4
Q
What is the usual treatment
supplementation slowly over
days?
A
D5W, 1/4 NS, or 1/2 NS
5
Q
How fast should you lower
the sodium level in hypernatremia?
A
Guideline is <12 mEq/L per day
6
Q
What is the major complication
of lowering the sodium
level too fast?
A
Seizures (not central pontine
myelinolysis)
