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vomiting, nasogastric suction, diarrhea, tap water enema, diuretics, kid disease, adrenal insufficiency, excessive sweating, burns, wound drainage, ascites, excessive water intake, HF, cirrhoisis, hypotonic fluids excess |
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Vital Signs - hyponatremia |
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hypothermia, tachycardia, rapid thready pulse, hypotension, ortho hypo |
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Neuromuscular - hyponatremia |
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headache, confusion, lethargy, muscle weakness to point of possible resp compromise, fatigue, decreased deep tendon reflexes, seizures |
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increased motility, hyperactive BS, abdom cramping, nausea |
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Admin 3% sodium chloride slowly and mon sodium levels, encourage foods high in sodium - cheese, milk, condiemnts |
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water deprivation, excessive sodium intake, excess sodium retention - renal failure, cushings, aldosteronism, some meds - gluccocorticosteroids, fluid losses - fever, diaphoreies, diab insipidus |
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hypoerthermia, tachycardia, ortho hypo |
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restless, irritability, muscle twithing to point of muscle weakness including resp compor, decreased deep tendon reflexes to point of absent DTRs, seizures, coma |
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thirst, dry mucous mems, increased motility, hyperactive bs, abdom cramping , nausea |
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weak, irregular pulse, hypotension, resp distress |
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weakness to point of resp collapse and paralysis, muscle cramping, decreased muscle tone and hypoactive reflexes, paresthesias, mental confusion |
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premature ventri contractions, bradycardia, blocks, ventricular tachycardia, inverted T waves, ST depression |
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decreased motility, abdom distension, constiation, ileus, nausea, vomiting, anorexia |
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avocados, broccoli, dairy products, dried fruit, cantaloupe, bananas |
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NEVER IV BOLUS!!! max tate 5-10 meq/hr |
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slow, irreg pulse, hypotension |
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restless, irritable, weakness to pt of ascending flaccid paralysis, paresthesias |
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premature ventricular contractions, ventric fibrillation, peaked t waves, widened QRS |
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n/v, increased motility, diarrhea, hyperactive BS |
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paresthesia of fingers/lips, muscle twitch/tetany, painful muscle spasm at rest, hyperactive deep tendon reflex, + chvostek's sign (tap facial nerve=twitch), + trosseaus(hand/finger spasm BP), |
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decreased myocardial contract (dec HR + hypotension), hyperactive BS, diarrhea, abdom cramp |
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increased nerve impulse transmission (hyperactive DTR, paresthesias, muscle tetany), positive chvostek's and trousseauS sign, |
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hypoactive bs, constipation, abdominal distention, paralytic ileus |
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