Sodium

Question 1

The sodium level in your blood is totally dependent on how much ___ you have in the blood

Answer 1

Water

Question 2

Hypernatremia= ?

Answer 2

Dehydration

Question 3

Hypernatremia

Too much sodium, not enough ___

Answer 3

Water

Question 4

Hypernatremia

Causes?

Answer 4

Hyperventilation
Heat stroke
DI
Vomit, diarrhea

Question 5

Hypernatremia

S/S?

Answer 5

• Dry mouth
• Thirsty (already dehydrated by the time you feel thirsty)
• SWOLLEN tongue

Question 6

Hypernatremia

Tx?

Answer 6

Restrict Na
Dilute client with fluids (dilute makes Na decrease)
Daily weigjts
I&O
Lab work

Question 7

Hypernatremia

If you have a sodium problem, you’ve got a ____ problem

Answer 7

Fluid

Question 8

Feeding tube clients tend to get dehydrated. What should we do to help?

Answer 8

Give more free fluid

Question 9

What changes are common with hyper or hypo Na?

Answer 9

NEURO

Question 10

Hyponatremia= ?

Answer 10

Dilution

Question 11

Hyponatremia

Too much water; not enough ___

Answer 11

Na

Question 12

Hyponatremia

Causes?

Answer 12

-H20 for fluid replacement (vomit, sweat)
-Psychoogenic polydipsia
D5W (sugar water)
SIADH (retain water)

Question 13

Hyponatremia

S/s?

Answer 13

HA
Seizure
Coma

Question 14

Hyponatremia

Tx?

Answer 14

• Saline
• Pt. doesnt need h20
• If neuro prolems, need HYPERtonic saline

Question 15

Hyponatremia

Ex of hypertonic saline?

Answer 15

3% NS or 5% NS

Question 16

Hypo or hyper Na?

Thirsty

Answer 16

Hyper

Question 17

Hypo or hyper Na?

Dehydration

Answer 17

Hyper

Question 18

Hypo or hyper Na?

Hyperventilation=cause

Answer 18

Hyper

Question 19

Hypo or hyper Na?

Dilution

Answer 19

Hypo

Question 20

Hypo or hyper Na?

Drinking H20 only for fluid replacement

Answer 20

Hypo

*need gatorade too because H20 only will replace water and dilute blood

Question 21

Hypo or hyper Na?

Swollen tongue

Answer 21

Hyper

Question 22

Hypo or hyper Na?

Dry mouth

Answer 22

Hyper

Question 23

Hypo or hyper Na?

DI= cause

Answer 23

Hyper

Question 24

Hypo or hyper Na?

HA

Answer 24

Hypo

Question 25

Hypo or hyper Na?

Coma

Answer 25

Hypo

Question 26

Hypo or hyper Na?

Heat stroke=cause

Answer 26

Hyper

Question 27

Hypo or hyper Na?

Seizure

Answer 27

Hypo