N105 Nursing Interventions I AY 2024-2025

[Non-urgent] I apologize in advance if this post sends a notification. I posted at this hour as this is my free time, but please reply at a convenient time for you.

Hello, Dr. Sumile! I would like to clarify the following:

Please refer to this GDrive link because I couldn't attach the images here on VLE: https://drive.google.com/drive/folders/1K9fOawvuPElxi3p98jwOqz5sWwlBxEaM?usp=drive_link

1. I tried to group the signs and symptoms of hypo/hypernatremia to better understand their causes (Image 1). Please correct me if I got any of them wrong. 

a. Is the nausea likely caused by potential increased ICP?

b. In hypernatremia, how come the tongue gets swollen and the mucous membranes become sticky? Based on my understanding, the epithelial cells should shrink due to the shift of fluid from the inside to the outside. 

I do acknowledge that a lot of manifestations tend to overlap, so it's important to correlate them within the patient's context. I hope I'm not overthinking these 😅

2. (Image 2) In documenting the presence/absence of phlebitis and infiltration, do we record the signs and symptoms as is, or is it still clinically relevant to use the attached grading (I saw them while browsing Brunner & Suddarth's 12th ed. published in 2009)?

Thank you very much! 😊

Sincerely,

Reg