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    Hyponatremia NCP

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    Maica Lectana
    The patient has hyponatremia with a serum sodium level of 120 mEq/L, related to electrolyte imbalance. The short term plan is to monitor vital signs and provide safety precautions while replacing fluids and electrolytes. The long term goal is for the patient to demonstrate stable fluid and electrolyte balance within 1 week. Nursing interventions include monitoring the patient's condition, encouraging sodium intake, and teaching about electrolyte imbalance complications.

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    Hyponatremia NCP

    Uploaded by

    Maica Lectana
    9K views2 pages
    The patient has hyponatremia with a serum sodium level of 120 mEq/L, related to electrolyte imbalance. The short term plan is to monitor vital signs and provide safety precautions while replacing fluids and electrolytes. The long term goal is for the patient to demonstrate stable fluid and electrolyte balance within 1 week. Nursing interventions include monitoring the patient's condition, encouraging sodium intake, and teaching about electrolyte imbalance complications.

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    Hyponatremia Ncp (1)

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    The patient has hyponatremia with a serum sodium level of 120 mEq/L, related to electrolyte imbalance. The short term plan is to monitor vital signs and provide safety precautions while replacing fluids and electrolytes. The long term goal is for the patient to demonstrate stable fluid and electrolyte balance within 1 week. Nursing interventions include monitoring the patient's condition, encouraging sodium intake, and teaching about electrolyte imbalance complications.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9K views2 pages

    Hyponatremia NCP

    Uploaded by

    Maica Lectana
    The patient has hyponatremia with a serum sodium level of 120 mEq/L, related to electrolyte imbalance. The short term plan is to monitor vital signs and provide safety precautions while replacing fluids and electrolytes. The long term goal is for the patient to demonstrate stable fluid and electrolyte balance within 1 week. Nursing interventions include monitoring the patient's condition, encouraging sodium intake, and teaching about electrolyte imbalance complications.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    SUBJECTIVE: Electrolytes Imbalance related to Short Term Monitor vital signs and CVP. Note Measurements are useful in determining Short Term
    hyponatremia as evidenced by After 8 hours of nursing intervention the presence/degree of postural BP the degree of fluid deficit and response After 8 hours of nursing intervention
    serum sodium level of 120 mEq/L. patient will verbalize changes. Observe fever to replacement therapy. Fever Increases the patient will be able to:
    understanding of metabolism and exacerbates fluid loss - Demonstrate
    OBJECTIVE electrolyte imbalances understanding of
    Serum sodium: 120 mEq/L Assess level of consciousness and A deficit in sodium levels may lead to electrolyte imbalances
    Skin appears dry neuromuscular response decreased mentation to coma, as well as
    Fine tremors are visible on both hands Long term generalized muscle weakness, cramps,
    After 1 week of nursing intervention, the or convulsions. Long term
    Vital Signs: patient will be able to: After 1 week of nursing intervention,
    - Heart rate of 133 bpm Demonstrate stable fluid and electrolyte Provide safety and seizure Decreases CNS stimulation and risk of the patient will be able to:
    balance precautions. Maintain a calm, quiet injury from neurological c - Demonstrate stable fluid
    environment. omplications such as seizures. and electrolyte balance
    As Measured by:
    - Electrolyte levels return to Encourage fluids and foods high in Unless sodium deficit causes serious As Measured by:
    normal and/or absence of signs sodium such as meat, milk, beets, symptoms requiring immediate IV Electrolyte levels return to normal
    or symptoms of deficit or excess celery, eggs, and carrots. Use fruit replacement, the client may benefit from and/or absence of signs or symptoms
    juices and bouillon instead of water. slower replacement by oral method or of deficit or excess
    removal of previous salt restriction.

    Co-occurring hypochloremia may


    Monitor respiratory rate and depth. produce slow and shallow respiration as
    the body compensates for metabolic
    alkalosis.
    Monitor urinary output.
    Measure/estimate fluid losses from Fluid replacement needs are based on
    all sources correction of current deficits and ongoing
    losses.

    Palpate peripheral pulses; note


    capillary refill, skin Conditions that contribute to extracellular
    color/temperature. fluid deficit can result in inadequate
    organ perfusion to all areas and may
    cause circulatory collapse/shock

    Teach family and patient about Clients need to be aware of the signs
    complications of deficient fluid and and symptoms in order to know when to
    electrolytes contact their health care provider

    DEPENDENT: Crystalloids provide prompt circulatory


    Administer IV solutions as improvement, although the benefit may
    indicated:Isotonic solutions such as be transient (increased renal clearance)
    0.9% NaCl (normal saline), 5%
    dextrose/water

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