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nursing care of patients with altered fluid, electrolyte, and acid-base balance
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normal sodium level
135 to 145 mEq/L
hyponatermia level
less than 135 mEq/L
symptoms of hyponatermia
muscle cramps
weakness
headache
irritabilty
lethargy
hyperreflexia
seizures
anorexia
nausea and vomiting
hypotension
coma/death
hypernatermia level
greater than 145 mEq/L
symptoms of hypernatermia
increased serum osmolarity
increased thirst
increased urine specific gravity
dry skin/mucous membranes
decreased skin turgor
headache
restlessness
seizures/coma
tachycardia
hypotension
vascular collapse