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 Post subject: Why not?
PostPosted: 2005-02-18 23:26:29
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After a single blood test showing slightly low sodium, Is there any reason
why a nurse should not interpret the result alone (ie without consulting a
doctor) and advise a patient to eat more salt??


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 Post subject: Why not?
PostPosted: 2005-02-19 00:30:49
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Tony wrote ...
> After a single blood test showing slightly low sodium,
> Is there any reason why a nurse should not interpret
> the result alone (ie without consulting a
> doctor) and advise a patient to eat more salt??

Yes.
Does the nurse know why the sodium is low?
(For this specific person)
Does the nurse know how this should be remedied?
(for this specific person)
Does the nurse know that slightly low sodium is much safer than excessive
salt intake?

In summary, a nurse should not be doing this.
A specific nurse, who knows the patient, the reason for the low sodium, and
how that cause should be treated, may advise the patient - if s/he feels
safe and competent to do so.

I doubt the advice would be eat more salt - unless, perhaps, the patient
is on a holiday in Tenerife.

--
Andrew Heenan
Real Nurse
http://www.realnurse.net/


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 Post subject: Why not?
PostPosted: 2005-02-19 03:45:27
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Slightly low sodium could be a relative thing...ie, they have too much
fluid, thus making the sodium low, relatively speaking. Thus, eating more
salt would promote more fluid retention, and thus, fluid overload.

Donna

Andrew Heenan wrote in message
news:cv61bv$amo$1@news6.svr.pol.co.uk...
> Tony wrote ...
>> After a single blood test showing slightly low sodium,
>> Is there any reason why a nurse should not interpret
>> the result alone (ie without consulting a
>> doctor) and advise a patient to eat more salt??
>
> Yes.
> Does the nurse know why the sodium is low?
> (For this specific person)
> Does the nurse know how this should be remedied?
> (for this specific person)
> Does the nurse know that slightly low sodium is much safer than
> excessive
> salt intake?
>
> In summary, a nurse should not be doing this.
> A specific nurse, who knows the patient, the reason for the low sodium,
> and
> how that cause should be treated, may advise the patient - if s/he feels
> safe and competent to do so.
>
> I doubt the advice would be eat more salt - unless, perhaps, the patient
> is on a holiday in Tenerife.
>
> --
> Andrew Heenan
> Real Nurse
> http://www.realnurse.net/
>
>


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 Post subject: Why not?
PostPosted: 2005-02-20 00:05:37
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Joined: 2005-02-20 00:05:37
Andrew Heenan wrote in message
news:cv61bv$amo$1@news6.svr.pol.co.uk...
> Tony wrote ...
>> After a single blood test showing slightly low sodium,
>> Is there any reason why a nurse should not interpret
>> the result alone (ie without consulting a
>> doctor) and advise a patient to eat more salt??
>
> Yes.
> Does the nurse know why the sodium is low?
> (For this specific person)

Seems to me she has no knowledge of hyponatremia and jumped to the wild
conclusion that eating more salt would correct it.


> Does the nurse know how this should be remedied?
> (for this specific person)

It doesnt look like it as there has been no investigation to discover the
cause.


> Does the nurse know that slightly low sodium is much safer than
> excessive
> salt intake?

I suspect that knowledge is not her strong point.


>
> In summary, a nurse should not be doing this.
> A specific nurse, who knows the patient, the reason for the low sodium,
> and
> how that cause should be treated, may advise the patient - if s/he feels
> safe and competent to do so.
>
> I doubt the advice would be eat more salt - unless, perhaps, the patient
> is on a holiday in Tenerife.

Thanks for a helpful reply


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 Post subject: Why not?
PostPosted: 2005-02-20 00:05:37
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Joined: 2005-02-20 00:05:37
Donna A-B wrote in message
news:rDyRd.126$9a3.40@edtnps91...
> Slightly low sodium could be a relative thing...ie, they have too much
> fluid, thus making the sodium low, relatively speaking. Thus, eating more
> salt would promote more fluid retention, and thus, fluid overload.

That seems a very likely cause in this case.


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