Electrolyte imbalance- sodium imbalance
DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER
Alterations in Health Pathophysiology Related Health Promotion and
(Diagnosis) to Client Problem Disease Prevention
risk for dehydration inadequate water intake or excessive water loss -increase fluid intake
related to poor skin turgor -decrease intake of foods high in sodium
caused by inadequate fluid intake dehydration and cell shrinkage
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings
-restlessness
-unconscious individual w/ poor water intake -agitation risk for electrolyte imbalances
-diabetes not managed -lethargy fluid volume deficit
-diarrhea intense thirst/dry swollen tongue, dry mucosa
-heat stoke -weight gain (due to edema)
-pulmonary edema
Laboratory Tests Diagnostic Procedures
sodium blood test Assess skin turgor
electrolyte panel LOC
BMP- basic metabolic panel input/output
PATIENT-CENTERED CARE
Complications
Nursing Care Medications Client Education
-fluid electrolyte imbalance
-monitor serum sodium levels
-pt mental status change/altered
-monitor serum osmolality hypertonic drink more fluids -bowel continence- lack of control
-plasma osmolality saline or decrease sodium intake
decrease=ADH increase sodium teach pt of sodium found in foods
-monitor pt’s response to bicarbonate
therapy
Therapeutic Procedures Interprofessional Care
provide comfort
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11