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how would you monitor care in hypervolemia - Answer- BP, HR,EXG
prevent skin break down
orthostatic hypotension
(S decrease 20, D decrease 10) 3 minute standing
To Treat Hypervolemia what should we do to treat ? - Answer- remove fluids without
electrolyte or ECF
diuretics
Fluid restriction ON ALL
What type of assessment would you do on Hypervolemia ? - Answer- Assess weight
gain
exercise
dialysis or surgeries
kidney, heart, GI , breathing problems
Electrolyte outcome - Answer- maintina HR
decrease edema
absence muscle cramps
Norm Levels
Norm pH
Electrolyte: How should we treat? - Answer- VS 3x
HR
I&O
Abd distention
neuro status
any diuretic use ?
older adults are prone to electrolyte abnormalities because ? - Answer- risk for heat and
kidney disease
inability to absorb Sodium
dehydration of the CNS
what is sodium role ? - Answer- maintain muscle contractility
, ECF
regulate Acid-based balance
never impulse
what is thirst consider in hypernatremia? - Answer- late sign
which saline used to treat water deficit ? - Answer- LR, 0.9
0.45
limit sodium intake
euvolemic hyponatremia - Answer- SIADH
normal sodium and water increase
hypervolemic hyponatremia - Answer- more water than sodium
hypovolemic hyponatremia - Answer- decrease in both, double decrease in sodium
Pseudo hyponatremia lab value - Answer- less than 135
translocation hyponatremia lab value fall - Answer- 1.6
hyponatremia mild and severe clinical manifestations - Answer- mild- headache,
irritability, difficulty thinking
serve- confusion, vomiting, sezirue, coma
what should we do to manage water excess? - Answer- fluid restriction, 500ml
loop diuretics
with seizures give 3% hyper
if the causes is from abnormal loss give what kind of saline? - Answer- isotonic
oral intake
withhold diuretics
what sources can you get potassium ? - Answer- protein-rich fod
fruits, veg
IV
stored in blood
hyperkalemia is most life threatening for ? - Answer- arrhythmias
tetany, muscle cramps
paralyzed