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Fluids and Electrolytes
Fluid Imbalances
Hypoosmolar Imbalance
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Irene Aguado
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Hypoosmolar Imbalance
Water
intoxication
Hypoosmolar Imbalance
This causes shifting of fluids from the
ECF
to
ICF.
The cells
swell.
There is sodium
deficit
or water
excess.
Hypoosmolar Imbalance
The most dangerous effect of water intoxication is increased
ICP.
Hypoosmolar Imbalance
Clinical Manifestations:
changes in
mental
status
sudden weight
gain
peripheral
edema
Hypoosmolar Imbalance
Management:
fluid
restriction
administration of
diuretics
as prescribed.
infusion of
hypertonic
saline per IV
promote
safety