Solutions
patients with these factors are at risk for what?
cancer, malabsorption (SBS, crohns, pancreatic insufficiency),
eating disorders, bariatric surgery, persistent N/V, post-op with
no PO intake x5-7 days, AIDS, HG
refeeding syndrome
when patients lose too much sodium and fluid
urine becomes concentrated as the body tried to hold on to fluid
hypovolemic hypotonic hyponatremia
what type of hyponatremia is caused by diuretic use, diarrhea,
fistula output, burns, open wounds, biliary/pancreatic drains,
excessive sweating
hypovolemic hypotonic hyponatremia
occurs during end stage organ damage when patients retain too
much water in relation to sodium
it involves third spacing
hypervolemic hypotonic hyponatremia
what type of hyponatremia is caused by renal, hepatic, or heart
failure
hypervolemic hypotonic hyponatremia
what is the treatment for hypervolemic hypotonic hyponatremia
so the body doesn't take on too much fluid
, restrict sodium
often due to SIADH
excessive ADH causes water retention
kidneys are not concentrating urine appropriately
these patients appear euvolemic but are total body water
overloaded because there is inadequate production and release of
antidiuretic hormone from the adrenal glands
euvolemic hypotonic hyponatremia
what type of hyponatremia is caused by head trauma, PNA, lung
malignancy, diabetes insipidus, lithium foscarnet/cidofovir (aids
medications), amphotericin B (antifungal), osmotic diuretics,
head trauma, pituitary surgery, CNS malignancy can cause DI
euvolemic hypotonic hyponatremia
daily electrolyte needs for calcium meq/day
10-15
daily electrolyte needs for magnesium meq/day
8-20
daily electrolyte needs for phosphorus mmol/day
20-40
daily electrolyte needs for sodium meq/kg
1-2
daily electrolyte needs for potassium meq/kg
1-2