Question

PN 200 Fundamentals of Nursing II Concept Map - Hyponatremia Ms. Rose Durham, a 54-year-old female, has been admitted to your unit with the diagnosis of hyponatremia. Her presenting symptoms include mental confusion, headache, and altered level of consciousness, anxiety, nausea, vomiting and a low-grade fever of 100.6. She has informed the physician that she has been out working in her garden for the past three days and it has been 97 degrees daily for the past 4 days. She does not recall drinking many fluids but has had her coffee in the moming. Her vital signs on admission are T100.6, P 104 weak and easily obliterated, R, 24 and regular, B/P 96/58. Height 5'7", weight 182 pounds. She states she follows a low sodium diet that she was given after being diagnosed with CHF. Additional history includes; appendectomy at 17; mitral valve prolapse; mild CHF with sodium restricted diet, and hysterectomy at 35 years of age. Labs & Diagnostic tests CBC Hemoglobin and hematocrit Electrolytes Chest X-ray Urinalysis Medications: Baby aspirin 81mg by mouth every day Plavix 75mg one tab by mouth daily Lasix 10 mg daily Digoxin 0.25 mg daily Physician Orders IV # 18-20 Jelco 1000 mL NACL 0.9% IV every 8 hours Intake and output X 3 days Convulsion precautions Liberal sodium diet In addition to completing the care plan, answer the following questions

Answer 1

1.Significance of drinking coffee: coffee its an antioxidants .Antioxidants fight inflammation, an underlying cause of many chronic conditions, including arthritis, atherosclerosis and many types of cancer. They also normalise  free radicals, which occur naturally as a part of regular metabolic functions, but which can cause oxidative stress that leads to chronic disease.Antioxidants help us healthy at the micro-level by protecting our cells from damage. Finally, chlorogenic acid, an important antioxidant almost exclusively in coffee, is also thought to help prevent cardiovascular disease. Coffee can helps her to maintain the level of sodium with the limited intake.

2.Any fresh or frozen beef, lamb, pork, poultry and fish.

Eggs and egg substitutes.

Low-sodium peanut butter.

Dry peas and beans (not canned)

Low-sodium canned fish.Drained, water or oil packed canned fish or poultry.

3.Acute hyponatremia can lead to much more severe complications  such as cerebral edema, brain disease, herniation of the brain, cardiopulmonary arrest, seizure, coma and even death.

4. She should need convulsion precautions other wise she has a chances to getting other Severe and rapidly evolving causes seizures, which are usually generalized tonic-clonic, and generally occur if the plasma sodium concentration rapidly decreases to <115 mEq/L.

5.Common electrolytes are :Calcium -3.47 +/- 1.45 mval/l, chloride -113.1 +/- 15.5 mval/l , magnesium -2.60 +/- 0.46mg/dl, phosphorus -1.11 +/- 0.21mg/dl , sodium -132.3 +/- 17.6 mval/l, potassium - 2,59+/-0.37 mval/l.