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Beer potomania: Drink in this atypical cause of hyponatremia

doi: 10.1097/01.NURSE.0000416028.53868.20
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INSTRUCTIONS Beer potomania: Drink in this atypical cause of hyponatremia


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Beer potomania: Drink in this atypical cause of hyponatremia

GENERAL PURPOSE: To provide nurses with information about beer potomania. Learning Objectives: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of beer potomania. 2. Discuss the signs and symptoms of beer potomania. 3. Explain treatment protocols to prevent serious complications of beer potomania.

  1. Diagnostic criteria for beer potomania include
    1. high serum osmolality.
    2. severe hypernatremia.
    3. long-standing protein malnutrition.
    4. ODS.
  2. Signs and symptoms of beer potomania include
    1. edema.
    2. dry skin.
    3. arthralgia.
    4. poor skin turgor.
  3. What's the most common electrolyte imbalance in hospitalized patients?
    1. hypernatremia
    2. hyponatremia
    3. hyperkalemia
    4. hypokalemia
  4. Beer is
    1. hypertonic.
    2. hyperosmolar.
    3. isoosmolar.
    4. hypoosmolar.
  5. ADH is synthesized in the
    1. hypothalamus.
    2. anterior pituitary gland.
    3. parathyroid gland.
    4. thyroid gland.
  6. What stimulates the release of ADH?
    1. parasympathetic stimulation
    2. hypertension
    3. increased serum osmolality
    4. increased blood volume
  7. How will a continued decrease in serum osmolality affect oligodendrocytes?
    1. It won't change cell size.
    2. It will cause cellular swelling.
    3. It will cause cellular shrinkage.
    4. It will cause crenation.
  8. Which cells are involved with myelination?
    1. myocytes
    2. hepatocytes
    3. type II pneumocytes
    4. oligodendrocytes
  9. The earliest clinical indicators of hypo-natremia include
    1. polydipsia.
    2. muscle cramps.
    3. peripheral edema.
    4. vague neurologic symptoms.
  10. Keeping the patient N.P.for 24 hours following admission prevents
    1. ileus.
    2. diuresis.
    3. AWS.
    4. d ODS.
  11. Physical assessment findings related to protein malnutrition include
    1. coarse, brittle hair.
    2. thickening of the skin.
    3. hypertrophy of the tongue.
    4. polyuria.
  12. Initial treatment goals for patients with beer potomania include
    1. enrollment in a sobriety program.
    2. aggressive diuresis.
    3. slow correction of hyponatremia.
    4. rapid reversal of protein malnutrition.
  13. Treatment options for patients with beer potomania include
    1. atropine.
    2. vasopressin.
    3. epinephrine.
    4. insulin.
  14. Priority nursing interventions include
    1. monitoring serum sodium levels.
    2. encouraging oral fluid intake.
    3. raising serum sodium levels as quickly as possible.
    4. encouraging a high-protein diet on admission.
  15. What's the normal range for serum sodium levels?
    1. 3.5 to 5.0 mEq/L
    2. 8.7 to 10.2 mg/dL
    3. 135 to 145 mEq/L
    4. 2.5 to 5.3 mg/dL
  16. What's the mortality for patients with alcoholism who present to the hospital with serum sodium levels less than 125 mEq/L?
    1. less than 20%
    2. 30%
    3. 40%
    4. greater than 50%
  17. Administer thiamine to prevent
    1. oliguria.
    2. Wernicke encephalopathy.
    3. ODS.
    4. a rapid rise in serum sodium.
  18. Which is a pharmacologic effect of desmopressin?
    1. decreased urine output
    2. decreased urine concentration
    3. decreased free water retention
    4. decreased urine specific gravity


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