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Med-Surg Final Exam Review 2019
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Med-Surg Final Exam Review 2019 Fluid and Electrolyte Sodium: 135-145 Potassium: 3.5-5.0 Calcium: 8.6-10.2 Magnesium: 1.3-2.3 Chloride: 97-107 Hypernatremia > 145 • Causes: excess flui... d/water loss, too much Na+, heat stroke, DI • S&S: thirst, elevated temp., dry swollen tongue, stick mucosa, neuro signs, restlessness and weakness, Inc. HR/BP • Management: hypotonic, isotonic (D5W), adequate tube feeding Hyponatremia < 135 • Causes: overuse diuretics, adrenal insufficiency, SIADH, N/V/D, anticonvulsants • S&S: poor skin turgor, dry mucosa, headaches, decreased salivation, low BP, N, abdominal cramping, neuro changes (AMS, seizures and coma), edema, anorexia • Management: water restriction and sodium replacement [Show More]
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