Sodium (Hypo & Hypenatremia) Fluid and Electrolytes

•

1 like•76 views

Learn more: http://bit.ly/nrsngacademy Sodium (Na+) is a vital electrolyte within the body. This presentation, from NRSNG Academy, outlines the role of Sodium in the body.

Health & Medicine

1www.nrsng.com© NRSNG, LLC. All rights reserved.
SODIUM - Na+
Hyponatremia & Hypernatremia

2www.nrsng.com© NRSNG, LLC. All rights reserved.
SODIUM
● NORMAL RANGE:
○ 135-145 mEq/L
● MAIN FUNCTIONS:
○ Most abundant extracellular cation
○ Controls fluid distribution between ICF and ECF
■ Osmolarity
○ Muscle contraction
○ Nerve Impulses

3www.nrsng.com© NRSNG, LLC. All rights reserved.
Hypoaldosteronism
HYPONATREMIA - CAUSES
ACTUAL
Wound Drainage
Low Na Diet
Diuretics
Sweating
RELATIVE
Water Intoxication
Freshwater Submersion
Psychogenic Polydipsia
Hypotonic Fluids
SIADH

4www.nrsng.com© NRSNG, LLC. All rights reserved.
● Neuro → Behavior changes, ↑ ICP
● MS → weakness
● GI → hyperactive
● CV → depends on volume status
○ ↓ = weak pulse, ↓ BP
○ ↑ = bounding pulse, ↑ BP
HYPONATREMIA - SYMPTOMS

5www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPONATREMIA - TREATMENT
STOP Na-Wasting Diuretics
IV Fluids
Osmotic Diuretics
Replace SLOWLY!!
Dietary Changes

6www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPERNATREMIA - CAUSES
ACTUAL
Oral Ingestion
Hypertonic Saline
Cushing’s Syndrome
Steroids
RELATIVE
Fever
Hyperventilation
Dehydration
Infection
NPO

7www.nrsng.com© NRSNG, LLC. All rights reserved.
● Neuro → r/t cellular dehydration
○ Hypovolemic → CRANKY
○ Hypervolemic → COMA
● MS → twitching
● CV → ↓ contractility
● S/S Dehydration
HYPERNATREMIA - SYMPTOMS

8www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPERNATREMIA -
TREATMENT
Hypotonic Fluids
Na-Wasting Diuretics
Dietary Changes
Bring levels down SLOWLY

9www.nrsng.com© NRSNG, LLC. All rights reserved.
KEY POINTS
Normal Value
Main Functions Fluid Balance, Nerve Impulses, Muscle Contraction
Hyponatremia Actual v. Relative → Cerebral edema. Replace SLOWLY
Hypernatremia Actual v. Relative → Cellular dehydration. Hypotonic + Free Water
Top Priorities Treat the cause, Protect the BRAIN!
01
02
03
04
05
135 - 145 mEq/L

10www.nrsng.com© NRSNG, LLC. All rights reserved.
HAPPY
NURSING!!

What's hot

Mechanism of hemostasis copyBipulBorthakur

Blood Coagulation CascadeNikhitha Kolamala

Blood coagulation Anup Bajracharya

Blood coagulationSATYA DAS

Blood CoagulationAsad Kamran

Coagulation and hemostasisTim Plante

Hemostasis and coagulation faiz khanKhan Faiz

HemostasisVamsi kumar

Cerebral blood flowDr Sara Sadiq

(cerebrovascular accident /stroke/brain attack)Edwin Raj

Cns blood flowKANCHAN PATIL

Hemostasiskps48

Hemostasis of bloodDr.SANDIP Bhattacharyya

Pathology - HemostasisAreej Abu Hanieh

Hemostasis, cloting mechanisbinaya tamang

Circulatory shockDaria9999900000

Hemostasis and blood coagulation general pathologySiganga Siganga

Thrombosis Class05冠宇姜

Lecture 10 (platelets and blood coagulations)Ayub Abdi

Hemostasis and methods to control bleedingAbdul Rahman Ibrahim

What's hot (20)

Mechanism of hemostasis copy

Blood Coagulation Cascade

Blood coagulation

Blood Coagulation

Coagulation and hemostasis

Hemostasis and coagulation faiz khan

Hemostasis

Cerebral blood flow

(cerebrovascular accident /stroke/brain attack)

Cns blood flow

Hemostasis

Hemostasis of blood

Pathology - Hemostasis

Hemostasis, cloting mechanis

Circulatory shock

Hemostasis and blood coagulation general pathology

Thrombosis Class05

Lecture 10 (platelets and blood coagulations)

Hemostasis and methods to control bleeding

Similar to Sodium (Hypo & Hypenatremia) Fluid and Electrolytes

Potassium (Hyperkalemia & Hypokalemia) Fluid and ElectrolytesNRSNG

RENAL HORMONES.pptxUdit Biswal

Morongwa Saku-Hormones Regulating Blood Pressure 1.pptxMorongwaSaku1

REGULATION OF BLOOD PRESSURE -2.pptxvikrantgholap

ACE Inhibitors & ARBslavenyaramamoorthi

The renin angiotensin aldosterone system.Ramachandra Barik

hyponatremiappt-170315180214.pptxSushantaPaudel

Fluid and Electrolytes.pptxAJAY MANDAL

Regulation of normal blood pressureSilah Aysha

Adrenal gland physiologyNavneet Randhawa

Cardiac output, blood flow, and blood pressureChy Yong

NCLEX Archer Rapid Prep .pdfAlSimz

hyponatremiappt-170315180214 (1) (1).pptxAkhilGamingYt

Sodium imbalancemauryaramgopal

Fluids and electrolytes Archer NCLEX content review webinarArcher Review USMLE and NCLEX

CEREBRAL EDEMA AND ITS MANAGEMENTdema measuresRajesh Kabilan

Sodium metabolism and disordersManik Kataruka

3. urinary regulationAmyEmtage

Archer NCLEX Review - Electrolyte imbalancesArcher Review USMLE and NCLEX

Disorder of sodium imbalancePradip Katwal

Similar to Sodium (Hypo & Hypenatremia) Fluid and Electrolytes (20)

Potassium (Hyperkalemia & Hypokalemia) Fluid and Electrolytes

RENAL HORMONES.pptx

Morongwa Saku-Hormones Regulating Blood Pressure 1.pptx

REGULATION OF BLOOD PRESSURE -2.pptx

ACE Inhibitors & ARBs

The renin angiotensin aldosterone system.

hyponatremiappt-170315180214.pptx

Fluid and Electrolytes.pptx

Regulation of normal blood pressure

Adrenal gland physiology

Cardiac output, blood flow, and blood pressure

NCLEX Archer Rapid Prep .pdf

hyponatremiappt-170315180214 (1) (1).pptx

Sodium imbalance

Fluids and electrolytes Archer NCLEX content review webinar

CEREBRAL EDEMA AND ITS MANAGEMENTdema measures

Sodium metabolism and disorders

3. urinary regulation

Archer NCLEX Review - Electrolyte imbalances

Disorder of sodium imbalance

Recently uploaded

Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh

CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls ServiceMiss joya

Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya

Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...narwatsonia7

Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts

High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha

Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7

Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya

VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya

Low Rate Call Girls Ambattur Anika 8250192130 Independent Escort Service Amba...narwatsonia7

Hi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near Menarwatsonia7

Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya

Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7

Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7

Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta

College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya

Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Servicenarwatsonia7

Call Girls Chennai Megha 9907093804 Independent Call Girls Service ChennaiNehru place Escorts

Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...Nehru place Escorts

sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service9953056974 Low Rate Call Girls In Saket, Delhi NCR

Recently uploaded (20)

Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts

CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service

Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...

Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...

Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available

High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur

Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...

Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...

VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts

Low Rate Call Girls Ambattur Anika 8250192130 Independent Escort Service Amba...

Hi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near Me

Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...

Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...

Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking

Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida

College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...

Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service

Call Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai

Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...

sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service

Sodium (Hypo & Hypenatremia) Fluid and Electrolytes

2. 2www.nrsng.com© NRSNG, LLC. All rights reserved. SODIUM ● NORMAL RANGE: ○ 135-145 mEq/L ● MAIN FUNCTIONS: ○ Most abundant extracellular cation ○ Controls fluid distribution between ICF and ECF ■ Osmolarity ○ Muscle contraction ○ Nerve Impulses

3. 3www.nrsng.com© NRSNG, LLC. All rights reserved. Hypoaldosteronism HYPONATREMIA - CAUSES ACTUAL Wound Drainage Low Na Diet Diuretics Sweating RELATIVE Water Intoxication Freshwater Submersion Psychogenic Polydipsia Hypotonic Fluids SIADH

4. 4www.nrsng.com© NRSNG, LLC. All rights reserved. ● Neuro → Behavior changes, ↑ ICP ● MS → weakness ● GI → hyperactive ● CV → depends on volume status ○ ↓ = weak pulse, ↓ BP ○ ↑ = bounding pulse, ↑ BP HYPONATREMIA - SYMPTOMS

7. 7www.nrsng.com© NRSNG, LLC. All rights reserved. ● Neuro → r/t cellular dehydration ○ Hypovolemic → CRANKY ○ Hypervolemic → COMA ● MS → twitching ● CV → ↓ contractility ● S/S Dehydration HYPERNATREMIA - SYMPTOMS

9. 9www.nrsng.com© NRSNG, LLC. All rights reserved. KEY POINTS Normal Value Main Functions Fluid Balance, Nerve Impulses, Muscle Contraction Hyponatremia Actual v. Relative → Cerebral edema. Replace SLOWLY Hypernatremia Actual v. Relative → Cellular dehydration. Hypotonic + Free Water Top Priorities Treat the cause, Protect the BRAIN! 01 02 03 04 05 135 - 145 mEq/L

Sodium (Hypo & Hypenatremia) Fluid and Electrolytes

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Similar to Sodium (Hypo & Hypenatremia) Fluid and Electrolytes

Similar to Sodium (Hypo & Hypenatremia) Fluid and Electrolytes (20)

Recently uploaded

Recently uploaded (20)

Sodium (Hypo & Hypenatremia) Fluid and Electrolytes