ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ hyponatremia DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem low soduim leading to low requlation of amount of water around the cells. --more water than salt or less salt than water when there is not enough soduim in the blood. sodium level goes below 135 MEq/l electrolyte imbalance excessive fluid confusion Health Promotion and Disease Prevention keep water and electrolyle level low. --stay hydrated normally --take medications as directed by the Dr and keep routine check up ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings kidney disease heart failure hypotonic fluid excess excessive sweating confusion headache orthastic hypotension pulse bounding hyperactivity bowel sound Laboratory Tests Diagnostic Procedures blood sodium decrease to 135mEg/l urinalysis blood osmolarity decrease decrease urine sodium 20mEq/l physical exams by physician basic metabolic panel PATIENT-CENTERED CARE Nursing Care ---monitor vital signs every 4 hoursto assess for hyperension. ----administer medication as prescribed to decrease symtoms. ----maintain open ait way maintain seizure protocle if it occure monitor respiratory rate and depth Therapeutic Procedures intravenus fluids oral rehydration provide/ restrict fluid dependency on fluid volume status ----medications as needed ACTIVE LEARNING TEMPLATES ---monitor vital signs every 4 hours to assess hypertension ----check weight daily to monitor weight gain for fluid overload ---monitor out take throuhg out shif to prevent fluid build up. ---provide safety checks every hour to prevent falls and help reduce anxiety. ---monitor level of consciousness every two hours to assess for confusion Complications Medications diuretics. ---captopril --furosemide --potassium chloride soduim chloride Client Education consume high sodium diet --notify health care provider for excessive weight gain or weight lost --seizure --coma --respiratory arrest acte hyponatremia Interprofessional Care --respiratory for oxgyen management --nutritioanal service --nephrology for electrolye fluid replacement THERAPEUTIC PROCEDURE A11