Discharge And Home Healthcare Guidelines

Teach the patient and his or her caregivers the importance of an adequate fluid intake and normal sodium intake. Discuss the foods that are appropriate for a low-sodium diet, if indicated. Advise the patient or significant others to avoid over-the-counter medications that are high in sodium. Teach the patient about the early signs of hypernatremia: polyuria, nausea, vomiting, and orthostatic hypotension. Explain that as hypernatremia becomes severe, the patient or family will note changes in the patient's mental status. Encourage the patient or significant others to notify the primary healthcare provider if any of these signs and symptoms occur.

458 Hyperparathyroidism

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