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An elderly Patient has just been admitted into the Emergency Room with symptoms of confusion, muscle tremors, and a red, swol
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a). Hypernatremia

Hypernatremia is the elevated sodium occurring with water loss or sodium gain .In hypernatremia serum sodium level of more than 145 mmol/L.Severe symptoms occur when levels are above 160 mmol/L.

b).Signs and symptoms to be assessed

  • Thirst
  • Lethargy
  • Agitation
  • Changes in sensoruim
  • Seizure
  • Coma
  • Decreased fluid intake will result in LOC so assess level of conciousness

c).Treatment

  • Treat the underlying cause
  • Assess the changes in mental status
  • Iv solution of 5% dextrose in water or hypotonic saline solution
  • Administration of diuretics
  • Maintain Intake output chart& monitor daily weight
  • Monitor foods &medication for Na+ content
  • Monitor serum Na+ & urine specific gravity
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