Hypernatremia

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Hypernatremia:
Risk Factors:
  • Water deficit
  • GI loss
  • DI
  • increased intake
Manifestations:
  • Na+ > 145 mEq/L
  • Thirst, dry mucous membranes
  • Restless, weak
  • Orthostatic hypotension
  • Muscle irritability, seizures
  • Coma
Interventions:
  • Daily weight
  • Assess CNS changes
  • I/O
  • Administer IVF: isotonic [restore volume]
  • Seizure precautions
  • Teach Na+ food sources
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