Hyponatremia with hyperkalemia and hypoglycemia may be present. Serum cortisol, ACTH, renin, aldosterone, and chemistry panel should be obtained. Serum cortisol level can help make diagnoses in the presence of elevated ACTH and plasma renin activity. The ACTH stimulation test can be performed to determine if the cause is central or …The nursing process is used continuously when caring for individuals who have fluid, electrolyte, or acid-base imbalances, or at risk for developing them, because their condition can change rapidly. This systematic approach to nursing care ensures that subtle cues or changes are not overlooked and that appropriate outcomes and interventions are ...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.”.The following are common nursing care planning goals and expected outcomes for risk for electrolyte imbalance: Patient will maintain normal electrolyte levels (serum potassium, sodium, calcium, magnesium, and phosphorus). Patient will maintain normal fluid balance. Patient will maintain adequate hydration.The incidence of hyponatremia among hospitalized patients ranges from 15% to 22%. 9 Severe hyponatremia has been variably defined as a serum [Na +] less than 120 mmol/l, 10 115 mmol/l, 11 or 110 ...Diabetes NCLEX Review and Nursing Care Plans. Diabetes mellitus, simply known as diabetes, is a group of metabolic disorders that involve the abnormal production of insulin or response to it, affecting the absorption of glucose in the body. Glucose (blood sugar) is the main source of energy for brain cells, body tissues, and muscles.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.This Osmosis High-Yield Note provides an overview of Hypernatremia and hyponatremia essentials. All Osmosis Notes are clearly laid-out and contain striking images, tables, and diagrams to help visual learners understand complex topics quickly and efficiently. Find more information about Hypernatremia and hyponatremia: Osmosis Hypernatremia …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 was effectively prevented by 0.9% NaCl, whereas more-hypotonic fluids—including Ringer's lactate—consistently caused a drop in serum sodium level. 51 Ringer's lactate, which has a ... Daniel Batlle and colleagues present an approach to the diagnosis and evaluation of hyponatremia that is based on the often-underused concept of electrolyte-free water clearance. Illustrated by a ...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.”.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).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 …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 …Incidence of hyponatraemia in patients with stroke. Hyponatraemia incidence ranges between 4% and 60% in patients with stroke. 6,8,9 The rate of hyponatraemia was as high as 40% in the setting of acute stroke according to a small study, including patients with ischaemic (n = 55) and hemorrhagic (n = 55) stroke. 13 Likewise, the incidence of hyponatraemia was 43% in a series of 100 patients ...Apr 30, 2024 · This comprehensive nursing care plan and management guide is here to assist you in providing optimal care for clients diagnosed with dehydration or fluid volume deficit. Explore the nursing assessment, interventions, goals, and nursing diagnosis specific to dehydration, enabling you to effectively address the needs of these clients. Hyponatremia. Elise W. Van der Jagt MD, MPH, in Pediatric Clinical Advisor (Second Edition), 2007 Basic Information Definition. Hyponatremia is present when the serum sodium concentration is less than 130 mEq/L (130 mmol/L), although some would consider a value less than 135 to be hyponatremic. Normal range generally falls between 133 to 146 …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 …For hyponatremia, some basic questions to ask your doctor include: What's the most likely cause of my symptoms? What causes hyponatremia? How severe is the …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.Symptoms of hyponatremia, or low sodium in the body, may include nausea and vomiting, confusion, weakness, and in severe cases, seizures, coma, and even death. In order to diagnose hyponatremia, a healthcare provider will perform a medical history, physical examination, and order laboratory tests. Treatment involves addressing …For hyponatremia, some basic questions to ask your doctor include: What's the most likely cause of my symptoms? What causes hyponatremia? How severe is the …Hypokalemia occurs when potassium falls below 3.6mmol/L and hyperkalemia occurs when potassium level in the blood is greater than 5.2mmol/L. Both conditions can be fatal and life-threatening; hence the need for prompt medical management depending on the severity. Potassium is a main intracellular electrolyte.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 …Introduction . Hyponatremia is the most common electrolyte disorder in clinical practice [], with higher incidence in the acute-care hospital, intensive care unit, or ambulatory-care setting as compared to a community-dwelling population [].Cross-sectional population studies show that the incidence increases with age [2, 3], with a reported …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 ]. Hyperkalemia is defined as a serum or plasma potassium level above the upper limits of normal, usually greater than 5.0 mEq/L to 5.5 mEq/L. While mild hyperkalemia is usually asymptomatic, high potassium levels may cause life-threatening cardiac arrhythmias, muscle weakness, or paralysis. Symptoms usually develop at …Hypovolemia refers to a state of low extracellular fluid volume, generally secondary to combined sodium and water loss. All living organisms must maintain an adequate fluid balance to preserve homeostasis. Water constitutes the most abundant fluid in the body, at around 50% to 60% of the body weight. Total body water is further divided …Find out how to install, repair, and remove all types of flooring in your home, including vinyl, carpet, tile, wood, and laminate flooring. Expert Advice On Improving Your Home Vid...Electrolyte Imbalance can be defined as the disproportion of electrolytes in the body which can affect the regulation of many bodily processes such as blood acidity and blood pressure, hydration status, nerve and muscle functions, and rebuilding of damaged tissues. The imbalance of the electrolytes such as sodium, potassium, calcium, magnesium ...www.lavarock.usThe Internet provides a wealth of resources when it comes to performing a telephone number search. Online telephone search engines allow you to look up residences and businesses in...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. Unformatted Attachment Preview. Nursing Care Plan for HYPONATREMIA Nursing Diagnosis Desired Outcome Electrolyte imbalance related to After 1 day of nursing intervention, the hyponatremia as evidenced by patient will: headache, lethargy, drowsiness, and Be able to re-establish a normal sodium level of 99mEq/L electrolyte and fluid balance.1. Assessing for Cognitive Impairment. Nursing assessment is crucial for clients with cognitive impairment or disturbed thought processes as it helps identify their specific needs, tailor care interventions, and monitor changes in cognitive function, allowing for individualized and effective care. 1.1. Assessing the client’s cognitive abilities.Hyperglycemia Nursing Care Plan 1. Risk for Unstable Blood Glucose. Nursing Diagnosis: Risk for Unstable Blood Glucose related to lack of understanding about diabetes treatment or glucose levels control, insufficient monitoring of blood glucose levels, insulin shortage or overproduction, and noncompliance to diabetes treatment programs ...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.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 ... Hyponatremia is consid-ered mild when the sodium concentration is 130 to 134 mEq per L, moderate when 125 to 129 mEq per L, and severe when less than 125 mEq per L. Mild … Hyponatremia and hypernatremia are classified based on volume status (hypovolemia, euvolemia, and hypervolemia). Sodium disorders are diagnosed by findings from the history, physical examination ... Fluid volume excess (FVE), or hypervolemia, refers to an isotonic expansion of the ECF due to an increase in total body sodium content and an increase in total body water. This fluid overload usually occurs from compromised regulatory mechanisms for sodium and water as seen commonly in heart failure (CHF), kidney …Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Common causes include medications and the syndrome of inappropriate antidiuretic...Hyponatremia is considered mild when the sodium concentration is 130 to 134 mEq per L, moderate when 125 to 129 mEq per L, and severe when less than 125 mEq per L. Mild … Hyponatremia was effectively prevented by 0.9% NaCl, whereas more-hypotonic fluids—including Ringer's lactate—consistently caused a drop in serum sodium level. 51 Ringer's lactate, which has a ... Hypokalemia occurs when potassium falls below 3.6mmol/L and hyperkalemia occurs when potassium level in the blood is greater than 5.2mmol/L. Both conditions can be fatal and life-threatening; hence the need for prompt medical management depending on the severity. Potassium is a main intracellular electrolyte.Deficient Fluid Volume – Nursing Diagnosis & Care Plan - - Free download as PDF File (.pdf), Text File (.txt) or read online for free. Deficient fluid volume, also known as dehydration, occurs when fluid loss exceeds fluid intake. Common causes of fluid loss include vomiting, diarrhea, hemorrhage, and increased sweating. Left untreated, …Plus: The other losers in the Credit Suisse debacle Good morning, Quartz readers! Amazon is laying off another 9,000 employees. The cuts will affect the e-commerce giant’s cloud an...Feb 7, 2017 · 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 (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.Hyponatremia is a significant complication of Syndrome of Inappropriate Antidiuretic Hormone. This causes symptoms like cramping, loss of appetite, nausea, and vomiting. With frequent nausea and vomiting, imbalanced nutrition can occur. Nursing Diagnosis: Imbalanced Nutrition. Related to: Food aversion; Altered taste perception; Nausea and vomitingNURSING CARE PLAN. Name of Patient: Patient NDJJ. Date of Admission: October 21, 2021 Room:203-A. Age: 11 months old Sex: Male Civil Status: Single. Chief Complaint: Vomiting and LBM of 5x/day with color of greenish brown stool. Religion: N/A Attending Physician: Dr. Gin Min Who. DATE & TIMEthe initial assessment of hyponatremia. 2,10 HISTORY The medical history can identify potential causes of hypona - tremia. Many commonly prescribed medications can cause hyponatremia (Table 1 11 ...Hypokalemia occurs when potassium falls below 3.6mmol/L and hyperkalemia occurs when potassium level in the blood is greater than 5.2mmol/L. Both conditions can be fatal and life-threatening; hence the need for prompt medical management depending on the severity. Potassium is a main intracellular electrolyte.A normal blood sodium level is between 135 and 145 milliequivalents per liter (mEq/L). Hyponatremia occurs when the sodium in your blood falls below 135 …Thus, hyponatremia may simply be a marker for high levels of a stress hormone to maintain blood pressure and preserve fluid volume, an evolutionary advantage in “flight-or-fight” situations. Therefore, we may postulate that patients showing an adequate high vasopressin response in a “stress” situation have a survival advantage compared ...Hyponatremia causes neurologic symptoms ranging from confusion to seizures to coma. The severity of the symptoms depends on how low the sodium levels are in the bloodstream and how quickly they fall. In many cases, blood sodium levels fall gradually, producing only mild symptoms as the body has time to make adjustments.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 … 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] Incidence of hyponatraemia in patients with stroke. Hyponatraemia incidence ranges between 4% and 60% in patients with stroke. 6,8,9 The rate of hyponatraemia was as high as 40% in the setting of acute stroke according to a small study, including patients with ischaemic (n = 55) and hemorrhagic (n = 55) stroke. 13 Likewise, the incidence of hyponatraemia was 43% in a series of 100 patients ...Hyponatremia is a lab diagnosis. Consider repeating the lab before initiating therapy, especially if it doesn't match the clinical scenario or if other electrolytes are deranged. An aberrantly low sodium may result from drawing electrolytes upstream from a hypotonic infusion.Nov 20, 2014 · 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 is an electrolyte abnormality that occurs in infancy due to a variety of inherited and acquired disorders. Infants with hyponatremia can present with neurologic symptoms such as vomiting, weakness, and seizures. Common causes of hyponatremia in the infant population are excess ingestion or administration of …Hyponatremia - Download as a PDF or view online for free. This lecture is based on National guidelines(Sri Lanka) and guidelines by NHS UK. all the materials used to prepare the lecture are trusted and high in quality. also the books referred are internationally recognized. both hyper and hypokalemia management included in the lecture. lecture is …Hypovolemia refers to a state of low extracellular fluid volume, generally secondary to combined sodium and water loss. All living organisms must maintain an adequate fluid balance to preserve homeostasis. Water constitutes the most abundant fluid in the body, at around 50% to 60% of the body weight. Total body water is further divided …Get ratings and reviews for the top 11 pest companies in Danville, CA. Helping you find the best pest companies for the job. Expert Advice On Improving Your Home All Projects Featu...Hyponatraemia is the most common electrolyte disturbance encountered in clinical practice. It is associated with significant morbidity and mortality, thus appropriate investigation and treatment is essential. Hyponatraemia presents with a spectrum of clinical presentations ranging from no symptoms to life-threatening neurological sequelae.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 …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 …Deficient Fluid Volume – Nursing Diagnosis & Care Plan - - Free download as PDF File (.pdf), Text File (.txt) or read online for free. Deficient fluid volume, also known as dehydration, occurs when fluid loss exceeds fluid intake. Common causes of fluid loss include vomiting, diarrhea, hemorrhage, and increased sweating. Left untreated, …The diagnostic approach to the patient with hyponatremia will be reviewed here. Many patients with hyponatremia have a single cause, but multiple factors sometimes contribute to the fall in plasma sodium. As an example, when a patient infected with HIV becomes hyponatremic, volume depletion, the syndrome of inappropriate ADH secretion (SIADH ...Discharge Instructions for Hyponatremia. You were diagnosed with hyponatremia. This means your blood level of sodium (salt) is too low. Salt is needed for the body and brain to work. Very low blood levels of sodium can be fatal. Symptoms can include headache, confusion, severe tiredness (fatigue), muscle cramps, hallucinations, seizures, and coma.Dec 16, 2016 · Conclusion. Hyponatremia in hospitalized older patients is associated with a higher likelihood of delirium and an elevated in-hospital mortality. With a prevalence of 15–30%, hyponatremia is the most common electrolyte abnormality in hospital inpatients ( 1 – 3 ). Geriatric patients are a high-risk group because of their changed physiology ... This causes increased risk of developing hyponatremia and fluid volume deficit. In contrast, newborns are less able to excrete potassium, placing them at risk for hyperkalemia. [9] ... Nursing diagnosis handbook: An evidence-based guide to planning care (12th ed.). Elsevier. pp. 360-363, 406-416.Nursing Care Plan for SIADH 1. Nursing Diagnosis: Electrolyte Imbalance ( Hyponatremia) related to the disease process of SIADH as evidenced by nausea, vomiting, serum sodium level of 160 mEq/L, irritability, and fatigue. Desired Outcome: Patient will be able to re-establish a normal electrolyte and fluid balance.Do 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...Hyponatremia - Download as a PDF or view online for free. This lecture is based on National guidelines(Sri Lanka) and guidelines by NHS UK. all the materials used to prepare the lecture are trusted and high in quality. also the books referred are internationally recognized. both hyper and hypokalemia management included in the lecture. lecture is …Hypovolemia refers to a state of low extracellular fluid volume, generally secondary to combined sodium and water loss. All living organisms must maintain an adequate fluid balance to preserve homeostasis. Water constitutes the most abundant fluid in the body, at around 50% to 60% of the body weight. Total body water is further divided …Disturbances in sodium concentration are common in the critically ill patient and associated with increased mortality. The key principle in treatment and prevention is that plasma [Na+] (P-[Na+]) is determined by external water and cation balances. P-[Na+] determines plasma tonicity. An important exception is hyperglycaemia, where P-[Na+] …Nursing care for hyponatremia involves the evaluation and treatment of the underlying cause as well as supportive care to ensure the patient remains safe and comfortable. In this post, we outline a nursing care plan for hyponatremia which includes assessment, diagnosis, outcomes, interventions, rationales, evaluation, and conclusions.
Hyponatremia. Elise W. Van der Jagt MD, MPH, in Pediatric Clinical Advisor (Second Edition), 2007 Basic Information Definition. Hyponatremia is present when the serum sodium concentration is less than 130 mEq/L (130 mmol/L), although some would consider a value less than 135 to be hyponatremic. Normal range generally falls between 133 to 146 …. Dunston's harry hines
Abstract. 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 ...Acute Confusion Nursing Care Plans 3. Nursing Diagnosis: Risk for Injury related to suicidal ideations, illusions, and hallucinations secondary to acute confusion. Desired Outcome: The patient will be able to remain free of injuries. Assess for the patient’s impairment, particularly sensory-perception issues. Hyponatremia: Fluid and Electrolytes for Nursing Students for the NCLEX exam and nursing lecture exam review with practice NCLEX style questions (on register... 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.Low levels of sodium in the blood, a condition known as hyponatremia, may be an indicator that the body is retaining rather than excreting excess water; this may be the result of a...The nursing process is used continuously when caring for individuals who have fluid, electrolyte, or acid-base imbalances, or at risk for developing them, because their condition can change rapidly. This systematic approach to nursing care ensures that subtle cues or changes are not overlooked and that appropriate outcomes and interventions are ...Hypovolemic shock is a potentially fatal condition characterized by uncontrolled blood or extracellular fluid loss. It is manifested by a drop in blood volume, blood pressure, and urine output of 0.5 ml/kg/hr. Its pathological process develops upon loss of intravascular volume, thereby decreasing blood pressure and venous return.Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Common causes include medications and the …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.You can generally expect to spend $3,000 to $10,000 a year for your business’s POS system. Learn more about POS system cost. Retail | Ultimate Guide Updated February 18, 2023 REVIE...Nursing Care Plan for HYPONATREMIA Nursing Diagnosis Desired Outcome Electrolyte imbalance related to After 1 day of nursing intervention, the hyponatremia as evidenced by patient will: headache, lethargy, drowsiness, and Be able to re-establish a normal sodium level of 99mEq/L electrolyte and fluid balance. Subjective Cue: Be free of ... 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 ... 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 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 …Hypovolemic Hyponatremia is where the patient has lost a lot of fluid and sodium. Causes: vomiting, diarrhea, NG suction, diuretic therapy, burns, sweating. Hypervolemic Hyponatremia is where the body has increased in fluid and sodium. However, sodium decreases due to dilution and because total body water and sodium are regulated independently ...Use this nursing care plan and management guide to provide care for patients with liver cirrhosis. Enhance your understanding of nursing assessment, ... Tolvaptan is an oral V2 receptor antagonist; it received FDA approval in 2009 only for the management of hyponatremia (Wolf & Anand, 2020)..