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