- Answers Problem related to Etiology as evidencedby Signs/Symptoms
Labs- Na - Answers levels typically reflect fluid balance rather than sodium balance;needed for
transmission of neuromuscular impulses, acid-base balance,fluid balance
Hyponatremia may be caused by - Answers vomiting, diarrhea, gastric suction,
excessiveperspiration, continuous IV 5% Dextrose/water; low-sodium diet, burns,inflammatory
reactions, tissue injury, and DRUGS - esp. diuretics.
Factitious hyponatremia - Answers caused by high glucose
Pseudohyponatremia - Answers caused by high triglyceride and/or protein levels
Hypernatremia can mean: - Answers dehydration, severe vomiting & diarrhea, CHF,
Cushing'sdisease, hepatic failure, high-sodium diet
Severe hyponatremia (< 120 mEq/L) can lead to.... - Answers seizure, coma, and death
K - abnormal values are more of a concern compared to Na. - Answers Cardiac arrhythmias and
neurological disturbances are seen with high or low levels.
Hypokalemia can be caused by - Answers decreased intake, protracted vomiting, renal loss,
cirrhosis
and nasogastric aspiration
Cl - Answers Chloride plays a role in fluid balance and acid-base balance aswell. However, many
times the chloride test is ignored; in most caseswhen the sodium value is normal the chloride
value will be normal.So in some hospitals, testing for chloride is not performed very often.
CO2 or HCO3 - Answers carbon dioxide or bicarbonate - when blood pH is too high(alkalosis) or
too low (acidosis), the cause can be either respiratory or metabolicin origin. If this value and
blood pH are too high, then it is metabolic alkalosis. Ifthis value and blood pH are too low, then
it is metabolic acidosis.
BUN - Answers elevated in kidney disease and protein catabolism, and dehydration;decreased in
liver failure, negative nitrogen balance, and pregnancy.
Creatinine - Answers by product of creatine breakdown; excreted by the kidneys soreflects
kidney function. Renal problems indicated when high. High-dose vitaminC and dehydration can
raise values, but BUN usually increases faster, giving you ahigh BUN:Creat ratio
Glucose - Answers high in diabetes; can be seen in trauma (non-diabetic "stress
inducedhyperglycemia")