Vomiting hypernatremia

G)ld clammy skin, decreased skin turgor, apprehension, confusion, irritability, anxiety, hypotension, postural hypotension, tachycardia, headache, tremors, convulsions, abdominal cramps, nausea, vomiting, diarrhea Hypernatremia... 

Diazoxide Up to 24 hour <5 minute 1-3 mg/kg up to 150 mg Hypernatremia, dizziness, vomiting Avoid in patients with sulfa allergies also used in patients with hypoglycemia... 

Signs and symptoms of hypernatremia (edema, hypertension, and weight gain) and hyponatremia (dry mucous membranes, muscle cramps, nausea, and vomiting)... 

The adverse reactions associated with mannitol administration are nausea, vomiting, headache and hypernatremia. 

Mannitol Physical osmotic effect on tissue water distribution because it is retained in the vascular compartment Marked increase in urine flow, reduced brain volume, decreased intraocular pressure, initial hyponatremia, then hypernatremia Renal failure due to increased solute load (rhabdomyolysis, chemotherapy), increased intracranial pressure, glaucoma IV administration Toxicity Nausea, vomiting, headache... 

D. Toxicity Removal of water from the intracellular compartment may cause hyponatremia and pulmonary edema. As the water is excreted, hypernatremia may follow. Headache, nausea, and vomiting are common. 

Nervous system Central pontine myelino-lysis has been attributed to hypernatremia due to vomiting secondary top digitalis intoxication... 

Hypernatremia, that is, sodium levels of 146 mEq/L (146 mmol/L) or higher, results from excessive sodium intake or sodium retention with excessive loss of water owing to diarrhea, diurehc medicahon use, vomiting, sweating, heavy respirahon, or severe bums. Therefore, these pahents are at highest risk and should be monitored closely. Elderly hospitalized pahents should be watched most carefully because many have chronic diseases that may be fatal in combinahon with excessive sodium and fluid loss. 

Some symptoms of hypernatremia may vary depending on the underlying cause. If dehydration is present owing to vomiting or diarrhea or failure to drink fluids, the urine output will be low (< 30 mL/h) with dark yellow appearance. However, if a hyperosmotic state or a condition causing decreased ADH release, such as diabetes insipidus, is... 

Central nervous system fatigue, fever, headache, insomnia, somnolence, psychosis, seizure Endocrine and metabolic hypophosphatemia, hypokalemia/hyperkalemia, hypomagnesemia, hypocalcemia, hypernatremia, hypothyroidism Cardiovascular atrial fibrillation/flutter, hypertension/hypotension, syncope, tachycardia, CHF, edema, anaphylactic shock Gastrointestinal nausea, vomiting, anorexia, abdominal pain, dyspepsia, constipation, gastrointestinal bleeding, diarrhea, stomatitis Genitourinary UTI... 

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