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Concept Map on Hyponatremia

Predisposing factors:
- Age
- Gender

Precipitating factors:
- SIADH
- Heart, Liver, and Kidney
problems
- Certain Medications
- Diet
- Lifestyle
- Recreational drugs
- Surgery

Low Level of
Sodium

Risk for Hyponatremia related


to unreplaced loss or limited
oral intake

Delayed membrane
depolarization
Low concentration in
the ECF
Medical Management:
Laboratory findings:HypoAcute 0.3% NaCl at
a
- Serum
sodium < 135
osmolar
rate of 1 to 2 ml /kgmEq/L
per
hour
- Decreased urine specific
Intracellular
Chronic raise sodium
gravity
concentration at a rate
of
- Decreased
serum edema
0.6 to 2.0 mEq/L perosmolality
hour
Hyponatremia
SIADH free-water -Hyponatremia
Urine sodium related
> 100
to
restriction; demeclocycline
mEq/24
hrs
(e.g. vomiting, diarrhea,
(declomycin)
-gastric
Increased
red blood
cell
suctioning,
burns,
count
SIADH, surgery, or fluid
overload)

Na level to 115
mEq/L

vascular
Confusion, hallucinations,
volume
behavioral changes,
and
secondary
to Na
Dryness of the skin,
seizures
tongue, and mucous
membrane
Brain Herniation
systolic and
diastolic BP,
orthostatic
Death
hypotension, and
weak, thread pulse
Legend:
Predisposing and Precipitating factors
Disease Process
Nursing Diagnosis
Signs and Symptoms
Diagnostic Tests

interstitial
volume

Impaired skin
integrity r/t altered
fluid status

Medical Management