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Hyponatremia: Risk Factors: GI loss SIADH Adrenal insufficiency Diuretics Water intoxication Decreased intake Manifestations: Na+ 135 mEq/L Weakness Lethargy Confusion Seizures Coma Interventions: Daily weight Assess CNS changes I/O Administer IVF [hypertonic (acute); isotonic (restore volume)] Seizure precautions Teach sodium-rich food If etiology is FVE, restrict fluids NOTE: risk for hypertonic solutions is cerebral edema

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Increased ICP Symptoms (0 - 15) = Normal Ranges **Any patient that becomes acutely unconscious, regardless of the cause should be suspected of having ↑ ICP** Causes: · Mass lesion (tumor) · Cerebral edema: o Can lead to SIADH or DI o Do NOT lay flat (might have edema in brain) o Reaches peak in 2 – 4 days, then subsides unless there is underlying pathology (cancer, DM, etc.) o Treatment: § Mannitol § Hypertonic Saline § Surgery (depending on cause trauma v. brain tumor) · NOT done if…

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( 2016 † IN MEMORY OF ) - † BRUCE LEE (Lee Jun Fan) Wednesday, November 27, 1940 - 5' 7½" - San Francisco, California, USA. Died: Friday, July 20, 1973 (aged of 32) - Kowloon, Hong Kong. (cerebral edema)

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JEAN HARLOW (Double Whoopee, The New Yorker, City Lights, The Secret Six, The Public Enemy and The Platinum Blonde; died of cerebral edema resulting from renal failure in June of 1937 at the age of 26)

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Bruce Lee (born Lee Jun-fan; 27 November 1940 – 20 July 1973) was a Chinese American Hong Kong actor, martial arts instructor, philosopher, film director, ...

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Jean Harlow refused to wear a bra...At first they wanted her to, then decided she was sexier without it, because the men would dream about touching her breast, so she got to go without it...

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