Hyponatremia

Linking Data to Wisdom In healthcare data is readily available. There are millions of studies attempting to prove or disprove any fact a health care provider can ask. Understanding how to apply and impart knowledge gained from data is one premise of nursing informatics. In the medical industry, the goal of data, knowledge and wisdom is to enhance the delivery and effectiveness of health care. The purpose of this paper is to use the extended Graves and Corcoran Metastructure model, which include wisdom, to ascertain whether available data concerning contrast-induced nephropathy (CIN) can be utilized to validate a standard of care in one hospital’s pre-operative area. Preventative Measures The question of when and how to treat for possible contrast-induced nephropathy arose in the cardiac and vascular procedural areas last year, during a nationwide shortage of the intravenous drug Sodium Bicarbonate (Brinkley, 2013). CIN, a known clinical risk, is a drug-induced reaction that can occur when patient receive contrast dye for percutaneous arterial stenting (Motohiro, et al., 2011). Hospitals were asked to restrict the use of the drug to code blue situations, for the treatment of lactic acidosis (Brinkley, 2013). Hospital physicians and nurses were asked to assess if patients creatinine clearance values and history indicated the use of Sodium Bicarbonate (Brinkley, 2013). During this time, normal saline (NS) was offered by the pharmacy as a comparable substitute for…

cause by water intoxication due to renal water retention leading to hyponatremia, urine that is too concentrated when serum osmolarity is very high. According to Huether & McCance (2012), Sign and symptom of SIADH depends on rate of development and severity of hyponetremia. In mild cases of hyponetremia, may or may not have any symptom. Norman sodium level in the blood is between 136 to 145 mEq/L. When this level drops from 140 to 130 mEq/L. some of the sign and symptoms may occur like…

Mild hyponatremia is characterized by gastrointestinal symptoms in the patient including nausea, vomiting, and loss of appetite, but may also include transient neurological symptoms such as gait disturbance and mild confusion (Sahay, M. & Sahay, R., 2014). Marathon runners are especially at risk for mild hyponatremia, This is because of the excessive amounts of water they consume in response to the ADH hormone being excreted because of their high amount of fluid loss (Sahay, M. & Sahay, R.,…

Hyponatremia is a condition that occurs when the level of sodium in your blood is abnormally low. Sodium is an electrolyte, and it helps regulate the amount of water that's in and around your cells (Mayo Clinic, 2015). When a person runs a long distance their blood is sent to their legs creating less blood flow to other organs such as the kidneys. People who drink too much water while taking part in marathons, ultramarathons, triathlons and other long-distance, high-intensity activities are at…

Central pontine myelinolysis (CPM) is often a feared complication of overly aggressive correction of hyponatremia (defined as < 135 mEq/L).1 Current guidelines1,2,3 dictate a slow correction of sodium, generally not exceeding 8-10 mEq/24 hrs to prevent CPM.1 CPM is a non-inflammatory demyelinating disease characterized by the loss of myelin in the base of the pons and carries a poor prognosis, often times resulting in death. We present a case in which an elderly gentleman was admitted for…

Hyponatremia Hyponatremia is when the amount of salt (sodium) in your blood is too low. When sodium levels are low, your cells absorb extra water and swell. The swelling happens throughout the body, but it mostly affects the brain. Severe brain swelling (cerebral edema), seizures, or coma can happen as a result. CAUSES This condition may be caused by: • Heart, kidney, or liver problems. • Thyroid problems. • Adrenal gland problems. • Metabolic conditions, such as Syndrome of…

Historical and Physical Assessment Physical History S.V. is a 63-year-old Caucasian female 162.56 centimeters tall weighing 63.5 kilograms. She was admitted to the hospital on February 9, 2015, due to uncontrolled vomiting related to intestinal blockage from paralytic ileus. On admission the client’s oxygen saturation on room air was 92%. S.V. was previously released from the hospital just three days prior to this admission for Hyponatremia. She was diagnosed with neurogastroenterology and…

multiple options to choose from to write this paper about. I decided to select hyponatremia because I know electrolyte imbalance is a very common issue. The Understanding Pathology textbook by Sue E. Heuther and Kathryn L. McCane state that hyponatremia is a sodium deficit or a serum sodium level that is less than 135 mEq/L. This in turn leads to a low serum osmolality. Hyponatremia can occur due to loss of sodium, inadequate intake of sodium, or dilution of sodium by water excess. This…

tumor to be removed.” Another option for the tumor may be radiation therapy. “This is more commonly used when part of the tumor is left over after the surgery in order to kill all the tumor cells and prevent the tumor from coming back.” When using radiation therapy, there is always a possibility “treatment will cause fatigue, mild skin reactions, or nausea,” (Cancer Net). As for treatments for hyponatremia, this is when it gets more complicated. The first step is “to determine the cause of…

1. In SIADH, high ADH levels interfere with renal free water clearance, leading to hyponatremia and hypoosmolality. SIADH secretion is associated with certain forms of cancer, apparently because of ectopic secretion of ADH by tumor cells. (McCance & Huether, 2014). SIADH makes it difficult for your body to get rid of excess water. This causes a buildup of fluids as well as abnormally low sodium levels, a condition known as hyponatremia. In addition to making it harder for your body to release…