Hyponatremia ncp

Abstract. Hyponatremia is a common water balance disorder that often poses a diagnostic or therapeutic challenge. Therefore, guidelines were developed by professional organizations, one from within the United States (2013) and one from within Europe (2014). This review discusses the diagnosis and treatment of hyponatremia, comparing the two ...

Hyponatremia ncp. Hyponatremia represents a serious health hazard. 1 Hospitalized patients, 2 nursing home residents, 3 women, 4, 5 and children 6 exhibit high frequency and/or …

Introduction. Hyponatremia is defined as a serum sodium concentration of less than 135 mEq/L but can vary to some extent depending upon the set values of varied laboratories. [1] Hyponatremia is a common electrolyte abnormality caused by an excess of total body water in comparison to that of the total body sodium content. Edelman …

Aug 1, 2023 · Conclusion: Our study showed that the etiology of hyponatremia was a more important prognostic indicator rather than the severity of hyponatremia. Normalization of serum sodium was associated with improved survival. Keywords: metabolic abnormalities, metabolic disease, symptomatic hyponatremia, mortality, hypotonic, siadh, hypervolemic ... Hyponatremia. Hypo: “under/beneath”. Natr: Prefix for Sodium. Emia: blood. Meaning of Hyponatremia: low sodium in the blood. Normal sodium levels: 135 to 145 mEq/L (<135 = hyponatremia). Role of sodium in the body: An important electrolyte that helps regulate water inside and outside of the cell. Remember that water and sodium loves each other …Hyponatremia is one of the most common problems encountered in clinical practice and one of the least-understood because accurate diagnosis and management require some familiarity with water homeostasis physiology, making the topic seemingly complex. The prevalence of hyponatremia depends on the nature of the population studied and the criteria used to define it. Hyponatremia is associated ...Hypoglycemia is low blood glucose. Patients who have diabetes may have episodes of hypoglycemia or hyperglycemia due to the body’s inability to produce or regulate insulin. Hypoglycemia is most likely to occur in diabetic patients due to the misadministration of insulin. Hypoglycemia can also occur in patients who are not …Nursing Care Plan for Hyponatremia: The nursing care of a patient with hyponatremia should consists of health promotion, assessment, nursing diagnosis, interventions and community based-care. (LeMone, Free Essay: Nursing Diagnosis The patient presents with urinary tract infection (UTI), hyponatremia, severe dehydration, cerebrovascular accident ...Hyponatremia is one of the most common problems encountered in clinical practice and one of the least-understood because accurate diagnosis and management require some familiarity with water homeostasis physiology, making the topic seemingly complex. The prevalence of hyponatremia depends on the nature of the population studied and the criteria used to define it. Hyponatremia is associated ...

The following are the nursing priorities for patients with seizure disorders. Recognize and assess signs and symptoms of seizures. Ensure immediate safety of the individual during a seizure episode. Administer first aid, if necessary, to prevent injury during seizures. Monitor seizure frequency, duration, and triggers.Treatment. Hyponatremia treatment is aimed at addressing the underlying cause, if possible. If you have moderate, chronic hyponatremia due to your diet, diuretics or drinking too much water, your doctor may recommend temporarily cutting back on fluids. He or she may also suggest adjusting your diuretic use to increase the level of sodium in ...Apr 9, 2022 · Commence a fluid balance chart, monitoring the input and output of the patient. To monitor patient’s fluid volume accurately and effectiveness of actions to monitor signs of dehydration. Start intravenous therapy as prescribed. Encourage oral fluid intake of at least 2500 mL per day if not contraindicated. Hyponatremia and hypernatremia are electrolyte disorders that can be associated with poor outcomes. Hyponatremia is considered mild when the sodium concentration is 130 to 134 mEq per L, moderate ...of hyponatremia, comparing the two guidelines and highlighting recent developments. Diagnostically, the initial step is to differentiate hypotonic from nonhypotonic hyponatremia. Hypotonic hyponatremia is further differentiated on the basis of urine osmolality, urine sodium level, and volume status. Recently identified parameters, including fractional uric …Chronic, severe vomiting or diarrhea and other causes of dehydration. This causes your body to lose electrolytes, such as sodium, and also increases ADH levels. Drinking too much water. Drinking excessive amounts of water can cause low sodium by overwhelming the kidneys' ability to excrete water.Background: Hyponatremia has long been recognized as a potentially serious metabolic consequence of tuberculous meningitis (TBM) occurring in 35-65% of children with the disease. The syndrome of inappropriate antidiuretic hormone (SIADH) secretion has for long been believed to be responsible for the majority of cases of hyponatremia in TBM.

Hyponatremia (serum sodium <135 mEq/L) is a frequent electrolyte abnormality complicating the clinical care of hospitalized patients. Hyponatremia has been associated with an increased risk of mortality. Hyponatremia can be seen in patients with euvolemia, hypovolemia, or hypervolemia. Evaluation of hyponatremia relies on clinical assessment ... The most frequent cause of neonatal hyponatremia is hypovolemic dehydration caused by vomiting, diarrhea, or both. When fluid loses are replaced with fluids that have little or no sodium (eg, some juices), hyponatremia can result. A less frequent cause is euvolemic hyponatremia caused by inappropriate ADH secretion and consequent water retention.Dec 5, 2021 · Acute Confusion Nursing Diagnosis & Care Plans. Acute confusion is an abrupt disruption in consciousness, attention, cognition, and perception. It is reversible and is a symptom of an underlying condition. Causes can range in severity and pinpointing the precipitating factor is important in order to treat the patient and improve confusion. Dec 30, 2023 · Nursing Diagnosis and Nursing Interventions of Hyponatremia What is Hyponatremia? Hyponatremia is a condition where the sodium leve l in the blood is less than 135 milliequivalents per liter (135 mEq/L).

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Oct 11, 2022 · Once the nurse identifies nursing diagnoses for hyponatremia or hypernatremia, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. In the following section, you will find nursing care plan examples for hyponatremia and hypernatremia. We would like to show you a description here but the site won’t allow us.Mar 10, 2013 · Recognizing hyponatremia. Hyponatremia, defined as a serum sodium level below 135 mEq/L, may manifest as a true sodium loss or as a fluid excess that dilutes the serum sodium concentration. 4 Two patients may have the same sodium level but completely opposite presentations. Consider a patient with any of the following: vomiting, diarrhea ... Apr 30, 2024 · This plan should include strategies for assessing and monitoring the patient’s mental status, providing a safe and supportive environment, managing any behavioral disturbances, and communicating with the patient’s healthcare team and family members. Use this nursing diagnosis guide to help you create an acute confusion nursing care plan.

Hyponatremia is defined as a serum sodium concentration of less than 135 mEq/L but can vary to some extent depending upon the set values of varied …Hyponatremia is one of the most common problems encountered in clinical practice and one of the least-understood because accurate diagnosis and management require some familiarity with water homeostasis physiology, making the topic seemingly complex. The prevalence of hyponatremia depends on the nature of the population studied and the …Jul 19, 2022 · Hyponatremia, which is defined as a serum sodium level of less than 135 mEq/L, affects approximately 5% of adults. Approximately 20% of people who are older than 65 years of age have hyponatremia as well as 35% of patients who are hospitalized, 30% of patients with heart failure, and 50% of patients with cancer or cirrhosis. 1-4 The pathogenesis of hyponatremia is complex and heterogenous and ... Hyponatremia (serum sodium <135 mEq/L) is a frequent electrolyte abnormality complicating the clinical care of hospitalized patients. Hyponatremia has been associated with an increased risk of mortality. Hyponatremia can be seen in patients with euvolemia, hypovolemia, or hypervolemia. Evaluation of hyponatremia relies on clinical … E87.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM E87.1 became effective on October 1, 2023. This is the American ICD-10-CM version of E87.1 - other international versions of ICD-10 E87.1 may differ. Applicable To. Hyponatremia is the most frequent electrolyte abnormality in hospitalized patients, especially those with neurologic injury, and is associated with increased morbidity and mortality [1,2]. Hyponatremia in patients with neurological injury may exacerbate cerebral edema through fluid shifts causing intracranial hypertension and potentially ...Hyponatremia, defined as a serum sodium level below 135 mEq/L, may manifest as a true sodium loss or as a fluid excess that dilutes the serum sodium concentration. 4 Two patients may have the same sodium level but completely opposite presentations.The treatments of hyponatremia include the correction and management of any underlying causes, diuretic medications, fluid restrictions, intravenous sodium, and, if Addison's disease is the cause then hormone replacement may be necessary. Potassium. The normal potassium level is 3.7 to 5.2 mEq/L.So ensure safety measures. Maintain a quiet environment. Keep the bed in a low locked position. Keep side rails up to prevent falls. Keep nurse call within reach and instruct patient to call a nurse for any assistance. Carefully monitor hyponatremia patients for any sign of convulsion and notify a physician.Key Points. Hyponatremia is decrease in serum sodium concentration 136 mEq/L ( 136 mmol/L) caused by an excess of water relative to solute. Common causes include diuretic use, diarrhea, heart failure, liver disease, renal disease, and the syndrome of inappropriate antidiuretic hormone secretion (SIADH).

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The fortunate among us don’t use Twitter at all, which undoubtedly bodes well for their peace of mind. But it also means they’re missing out on a major front in the modern culture ...Nursing Care Plan for Hyponatremia: The nursing care of a patient with hyponatremia should consists of health promotion, assessment, nursing diagnosis, interventions and community based-care. (LeMone, Free Essay: Nursing Diagnosis The patient presents with urinary tract infection (UTI), hyponatremia, severe dehydration, cerebrovascular accident ...Hyponatremia. Hypo: “under/beneath”. Natr: Prefix for Sodium. Emia: blood. Meaning of Hyponatremia: low sodium in the blood. Normal sodium levels: 135 to 145 mEq/L (<135 = hyponatremia). Role of sodium in the body: An important electrolyte that helps regulate water inside and outside of the cell. Remember that water and sodium loves each other …Hyponatremia and Hypernatremia NCLEX Review and Nursing Care Plans. Hyponatremia and hypernatremia are conditions that refer to the concentration of sodium in the blood. Hyponatremia denotes abnormally low levels of sodium, while hypernatremia means high levels of sodium. Sodium is an essential extracellular electrolyte.Hyponatremia. Hyponatremia is common during the first week of the acute phase, as water shifts from the interstitial space to the vascular space. Hyperkalemia. Immediately after burn injury hyperkalemia results from massive cell destruction. Hypothermia. Loss of skin results in an inability to regulate body temperature. PreventionHyponatremia is defined as a serum sodium level of less than 135 mEq/L and is considered severe when the serum level is below 125 mEq/L. Many medical illnesses, such as congestive heart failure, liver failure, renal failure, or pneumonia, may be associated with hyponatremia.Symptoms of hyponatremia are headache, confusion, seizures, and coma. Treatment for hyponatremia depends on the cause and often consists of limiting water intake or discontinuing administration of hypotonic IV fluids. If hyponatremia is severe, a hypertonic IV saline solution may be prescribed to gradually raise the patient’s sodium level. [5]

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Continuing Education Activity. Hyponatremia is defined as a serum sodium concentration of less than 135 mEq/L but can vary to a small extent in different laboratories. Hyponatremia is a common electrolyte abnormality caused by an excess of total body water when compared to total body sodium content.Recognizing hyponatremia. Hyponatremia, defined as a serum sodium level below 135 mEq/L, may manifest as a true sodium loss or as a fluid excess that dilutes the serum sodium concentration. 4 Two patients may have the same sodium level but completely opposite presentations. Consider a patient with any of the following: vomiting, …* Required Field Your Name: * Your E-Mail: * Your Remark: Friend's Name: * Separate multiple entries with a comma. Maximum 5 entries. Friend's E-Mail: * Separate multiple entries w... Symptoms of hyponatremia are headache, confusion, seizures, and coma. Treatment for hyponatremia depends on the cause and often consists of limiting water intake or discontinuing administration of hypotonic IV fluids. If hyponatremia is severe, a hypertonic IV saline solution may be prescribed to gradually raise the patient’s sodium level. [5] Sep 1, 2013 · Hyponatremia is one of the most commonly encountered electrolyte disorders among both adults and children. Although childhood cases can occur in the ambulatory setting, most occur among inpatients, with the condition affecting approximately 25% of hospitalized children. Defined as a plasma sodium concentration less than 135 mEq/L (135 mmol/L), hyponatremia can result from either a deficit of ... Meaning of Hypernatremia: excessive sodium in the blood isotonic, hypotonic, and hypertonic tonicity. Normal sodium levels: 135 to 145 mEq/L (>145 sodium is hypernatremic) Role of sodium in the body: It’s an important electrolyte that helps regulate the amount of water inside and outside of the cell (water and sodium loves each other).Management of hyponatremia. Hyponatremia, defined as a decrease in serum sodium below 136 mmol/L, is a common occurrence in both inpatients and outpatients and can be found in up to 15% of the general hospital populations. 1, 2 Acute hyponatremia (duration < 48 h) and its management can be a cause of major morbidity …Introduction. Hyponatremia is defined as a serum sodium concentration of less than 135 mEq/L but can vary to some extent depending upon the set values of varied laboratories. [1] Hyponatremia is a common electrolyte abnormality caused by an excess of total body water in comparison to that of the total body sodium content. Edelman …Abstract. Hyponatraemia, defined as a serum sodium concentration <135 mmol/l, is the most common disorder of body fluid and electrolyte balance encountered in clinical practice. It can lead to a wide spectrum of clinical symptoms, from subtle to severe or even life threatening, and is associated with increased mortality, morbidity and length of ...Hyponatremia. Hyponatremia is common during the first week of the acute phase, as water shifts from the interstitial space to the vascular space. Hyperkalemia. Immediately after burn injury hyperkalemia results from massive cell destruction. Hypothermia. Loss of skin results in an inability to regulate body temperature. PreventionDo you know how to draw a man in a bomber jacket? Take a look at our five steps and learn how to draw a man in a bomber jacket. Advertisement A bomber jacket and sunglasses has bee...Small to large enterprises can use the Julaya platform to make bulk payments to other businesses and their unbanked employees through existing mobile money channels. Ivorian paymen... ….

Qatar has received a torrent of bad press recently as attention has been focused on the hazardous conditions under which labourers building facilities for the 2022 FIFA World Cup l...Hyponatremia is one of the most common problems encountered in clinical practice and one of the least-understood because accurate diagnosis and management require some familiarity with water homeostasis physiology, making the topic seemingly complex. The prevalence of hyponatremia depends on the nature of the population studied and the …Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Common causes include medications and the syndrome of inappropriate antidiuretic...Abstract. Hyponatremia is a common water balance disorder that often poses a diagnostic or therapeutic challenge. Therefore, guidelines were developed by professional organizations, one from within the United States (2013) and one from within Europe (2014). This review discusses the diagnosis and treatment of hyponatremia, comparing the two ...1. Introduction. Hyponatremia, defined as a decrease in plasma sodium concentration <135 mmol/L, is the most common disorder of electrolyte and water balance, affecting up to 30% of hospitalised patients [].Profound hyponatremia (plasma sodium < 125 mmol/L) is less common with a prevalence of 0.15–2.5% [2,3,4].Hyponatremia is …Treatment. Hyponatremia treatment is aimed at addressing the underlying cause, if possible. If you have moderate, chronic hyponatremia due to your diet, diuretics or drinking too much water, your doctor may recommend temporarily cutting back on fluids. He or she may also suggest adjusting your diuretic use to increase the level of sodium in ...Aug 4, 2015 · This issue provides a clinical overview of hyponatremia, focusing on prevention, diagnosis, treatment, and practice improvement. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors ... Hyponatremia is defined as the condition when the concentration of sodium in blood falls below 135 mmol/L and, in severe cases, below 125 mmol/L. Although the condition has been found to accompany several carcinomas, including lung, pancreatic, prostate, liver, breast, and renal cancers, the cause (s) of cancer-associated …Oct 25, 2023 · A table summarizing the emergency management of acute hyponatremia in adults is provided ( table 1 ). An alternative approach, recommended in by European organizations, is to treat with two 150 mL bolus infusions of 3 percent saline, each given over 20 minutes, measuring the serum sodium between infusions [ 28 ]. Hyponatremia ncp, Hypokalemia Nursing Care Plan. By. RNspeak. -. May 22, 2018 Modified date: July 17, 2021. Hypokalemia is a serum potassium level less than 3.5 mEq/L or 3.5 mmol/L. This indicates depletion in the normal potassium levels in the body, a potential life-threatening emergency and can be fatal. Potassium helps in utilizing carbohydrates and …, Hyponatremia Ncp (1) - Free download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read online for free. The patient has hyponatremia with a serum sodium level of 120 mEq/L, related to electrolyte imbalance. The short term plan is to monitor vital signs and provide safety precautions while replacing fluids and electrolytes ..., Chronic, severe vomiting or diarrhea and other causes of dehydration. This causes your body to lose electrolytes, such as sodium, and also increases ADH levels. Drinking too much water. Drinking excessive amounts of water can cause low sodium by overwhelming the kidneys' ability to excrete water., Nursing Care Plan for Thrombocytopenia 2. Nursing Diagnosis: Fluid Volume Deficit related to blood volume loss secondary to bleeding as evidenced by hematemesis, low platelet count, HB of 70, skin pallor, blood pressure level of 85/58, and lightheadedness. Desired Outcome: The patient will have an absence of bleeding, a …, Nursing Diagnosis: Risk for Decreased Cardiac Output. Related to: Changes in the conductivity in the heart; Inability to pump blood effectively; Disruption in the electric functioning of the heart; As evidenced by: A risk for diagnosis is not evidenced by signs and symptoms as the problem has not yet occurred and nursing interventions are aimed ..., Hyponatremia (say "hy-po-nuh-TREE-mee-uh") means that you don't have enough sodium in your blood. It can cause nausea, vomiting, and headaches. Or you may not feel hungry. In serious cases, it can cause seizures, a coma, or even death. Hyponatremia is not a disease. It is a problem caused by something else, such as medicines or exercising for a ..., Rationale: Minimizes effects of muscle changes, including spasticity and weakness. Increase magnesium-rich foods, including dairy, green leafy vegetables, and meat. Rationale: Promotes replacement of magnesium through the diet for mild electrolyte imbalance. Administer oral or IV magnesium supplements as indicated., View ATN NCP.docx from BS 115 at University of Perpetual Help System JONELTA- Cavite Campus. Electrolyte imbalance (HYPONATREMIA) Risk for infection for IV catheter Deficit fluid volume Deficient , Hyponatremia represents a serious health hazard. 1 Hospitalized patients, 2 nursing home residents, 3 women, 4, 5 and children 6 exhibit high frequency and/or …, Small to large enterprises can use the Julaya platform to make bulk payments to other businesses and their unbanked employees through existing mobile money channels. Ivorian paymen..., Continuing Education Activity. Hyponatremia is defined as a serum sodium concentration of less than 135 mEq/L but can vary to a small extent in different laboratories. Hyponatremia is a common electrolyte …, Spoiler alert: Citronella candles are lying to you and they should feel bad. People hate mosquitoes, and so companies make a lot of anti-mosquito things: candles, wristbands, chemi..., Therapeutic interventions and nursing actions for patients with urinary tract infection (UTI) may include: 1. Managing Acute Pain. Because of the referred pain pathways, even simple lower UTI may be accompanied by flank pain and costovertebral angle tenderness. The lining of the bladder becomes inflamed and irritated., You are probably wondering why your wall, despite its new paint, is starting to chip and fall off. Such a situation should not be normal but is also not Expert Advice On Improving ..., So ensure safety measures. Maintain a quiet environment. Keep the bed in a low locked position. Keep side rails up to prevent falls. Keep nurse call within reach and instruct patient to call a nurse for any assistance. Carefully monitor hyponatremia patients for any sign of convulsion and notify a physician., Management of hyponatremia. Hyponatremia, defined as a decrease in serum sodium below 136 mmol/L, is a common occurrence in both inpatients and outpatients and can be found in up to 15% of the general hospital populations. 1, 2 Acute hyponatremia (duration < 48 h) and its management can be a cause of major morbidity …, Hyponatremia is a common electrolyte disorder in children. It is generally defined as plasma sodium of less than 135 mmol/l. Sodium homeostasis is essential for maintaining intravascular volume and is tightly linked to water balance. Plasma water volume is regulated mainly by the secretion of an antidiuretic hormone (ADH) and by the thirst ..., In patients with hyponatremia with oliguric kidney failure, controlled correction can be achieved with modified hemodialysis or continuous renal replacement therapies. ODS is potentially reversible, even in severely affected patients who are quadriplegic, unresponsive, and ventilator dependent. Supportive care should be offered several weeks ... , Dec 5, 2021 · Acute Confusion Nursing Diagnosis & Care Plans. Acute confusion is an abrupt disruption in consciousness, attention, cognition, and perception. It is reversible and is a symptom of an underlying condition. Causes can range in severity and pinpointing the precipitating factor is important in order to treat the patient and improve confusion. , Hyponatremia is an important and common clinical problem. The etiology is multifactorial. Hyponatremia may be euvolemic, hypovolemic or hypervolemic. Proper interpretation of the various laboratory tests helps to differentiate the various types of hyponatremia. Treatment varies with the nature of onset -acute or chronic, severity and symptoms., Nursing Care Plan on Hyponatremia//Risk for Hyponatremia #nursingcareplan ‎@anandsnursingfiles What are the nursing interventions for hyponatremia?What is t..., The most frequent cause of neonatal hyponatremia is hypovolemic dehydration caused by vomiting, diarrhea, or both. When fluid loses are replaced with fluids that have little or no sodium (eg, some juices), hyponatremia can result. A less frequent cause is euvolemic hyponatremia caused by inappropriate ADH secretion and consequent water retention., In patients with severe symptomatic hyponatremia, the rate of sodium correction should be 6 to 12 mEq per L in the first 24 hours and 18 mEq per L or less in 48 hours., Hyponatremia patients are defined as those having serum Na <135 mmol/L. All patients enrolled in the study were subjected to full history taking and complete physical examination with a special highlight on the manifestations of lupus activity which was assessed by systemic lupus erythematosus disease activity index ..., INTRODUCTION. Hyponatremia is defined as a serum or plasma sodium less than 135 mEq/L. Hyponatremia is among the most common electrolyte abnormalities in children. Drops in sodium level can lead to neurologic findings and, in severe cases, significant morbidity and mortality, especially in those with acute and rapid changes in …, Hyponatremia is one of the most common problems encountered in clinical practice and one of the least-understood because accurate diagnosis and management require some familiarity with water homeostasis physiology, making the topic seemingly complex. The prevalence of hyponatremia depends on the nature of the population studied and the criteria used to define it. Hyponatremia is associated ..., of hyponatremia, comparing the two guidelines and highlighting recent developments. Diagnostically, the initial step is to differentiate hypotonic from nonhypotonic hyponatremia. Hypotonic hyponatremia is further differentiated on the basis of urine osmolality, urine sodium level, and volume status. Recently identified parameters, including fractional uric acid excretion and plasma copeptin ... , Learn about the signs, symptoms, causes, diagnosis, and treatment of hyponatremia and hypernatremia, conditions that affect …, Nursing Care Plan for Thrombocytopenia 2. Nursing Diagnosis: Fluid Volume Deficit related to blood volume loss secondary to bleeding as evidenced by hematemesis, low platelet count, HB of 70, skin pallor, blood pressure level of 85/58, and lightheadedness. Desired Outcome: The patient will have an absence of bleeding, a …, Jul 19, 2022 · Hyponatremia, which is defined as a serum sodium level of less than 135 mEq/L, affects approximately 5% of adults. Approximately 20% of people who are older than 65 years of age have hyponatremia as well as 35% of patients who are hospitalized, 30% of patients with heart failure, and 50% of patients with cancer or cirrhosis. 1-4 The pathogenesis of hyponatremia is complex and heterogenous and ... , Hyponatremia has been associated with an increased risk of mortality. Hyponatremia can be seen in patients with euvolemia, hypovolemia, or hypervolemia. Evaluation of hyponatremia relies on clinical assessment and estimation of serum sodium, urine electrolytes, and serum and urine osmolality in addition to other case-specific laboratory parameters., Hyponatremia and hypernatremia are electrolyte disorders that can be associated with poor outcomes. Hyponatremia is considered mild when the sodium concentration is 130 to 134 mEq per L, moderate ... , Most Common – Outpatient. 06/2011. Nutrition Diagnostic Statement. Etiology (Cause/Contributing Factors) Signs and Symptoms (Defining characteristics) NI-5.8.2. Excessive CHO Intake “Intake more than the recommended level and type of carbohydrate compared to established reference standards or recommendations based on physiological stress.”.