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Zentrale pontine Myelinolyse #zu schnelle Korrektur von der Hyponatriämie

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nurse-with-a-smile: Hyponatremia: Risk Factors: GI loss SIADH Adrenal insufficiency Diuretics Water intoxication Decreased intake Manifestations: Na+ < 135 mEq/L Weakness Lethargy Confusion Seizures Coma Interventions: Daily weight Assess CNS changes I/O Administer IVF [hypertonic (acute); isotonic (restore volume)] Seizure precautions Teach sodium-rich food If etiology is FVE, restrict fluids NOTE: risk for hypertonic solutions is cerebral edema


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