Hyperchloremia

chloride above ___ means hyperchloremia

107 mEq/L

what oral intake pattern can cause hyperchloremia?

too much dietary sodium (salt-heavy foods)

which IV therapy can cause hyperchloremia?

excessive sodium chloride IV infusions

not drinking enough ____ can cause hyperchloremia

water

which body loss routes commonly lead to hyperchloremia?

increased sweating, diarrhea

which medication class can raise chloride and contribute to hyperchloremia?

corticosteroids

hyperchloremia impact on respirations

tachypnea

hyperchloremia impact on energy level

weakness and lethargy

what cognitive effect is expected in hyperchloremia?

diminished cognitive ability

hyperchloremia impact on blood pressure

hypertension

what cardiac rhythm risk is associated with hyperchloremia?

dysrhythmias

what common GI symptoms occur in hyperchloremia?

nausea, vomiting

what late oral finding is sometimes noted with severe sodium/chloride excess?

swollen dry tongue

what IV fluid is often used for hyperchloremia?

lactated ringer’s (LR) infusion

medication that replaces lost base and helps correct chloride-related acidosis

sodium bicarbonate

excess chloride ____ bicarbonate

lowers

what additional medication class is used to lower chloride in hyperchloremia?

diuretics, as prescribed

what are key teaching points for hyperchloremia?

diet counseling for high sodium, hydration counseling for low water intake