Essay On Hypernatremia

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Hypernatremia occurs when the body has increased serum sodium levels that go over 145 mEq/L. This increase in serum sodium levels results in hypertonicity, pulling water out of cells resulting in cell shrinkage. Based on extracellular fluid water volume (level of hypertonicity), hypernatremia can be isovolemic (most common), hypovolemic, or hypervolemic. When isovolemic hypernatremia occurs, there is a loss of free water whilst maintaining near normal sodium serum concentration. Isovolemic hypernatremia can be influenced by inadequate water intake (more water than sodium), excessive sweating (losing water, sweat is hypotonic), respiratory tract infections that increase respirations, increasing water loss from lungs), fever, fluid loss from burns, vomiting (fluid loss, cannot keep fluids down), diarrhea (water loss), and diabetes. Symptoms include fatigue, weakness, confusion, edema, dry mouth, patients with tachy cardia, …show more content…
Primary Intension wound healing
Primary intension wound healing includes clean incisions. For example, a surgical cut or cat scratch. These type of wounds require minimal tissue for healing because minimal tissue was lost. Nurses will work for keeping the wound free of infection and monitoring the wound for signs of proper healing.
8. Secondary Intension wound healing
Secondary intension wound healing is the healing of a much bigger, more open wound with significant tissue loss (ulcer or dog bite). Wounds like these will form a scar from the epithelialization and contraction that seal and shrink the wound edges. Repaired tissue only regenerates about 80% of its original tissue strength.
Nurses should always check any and all wounds for signs of impaired wound healing and any signs of infection. It is important for nurses to assure proper circulation to healing areas of the body and to keep wound from further injury. Treatment may include changing bandage dressings and administering medications to prevent infection from occurring.
9.

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