HYPERNATREMIA

S/Sx: *Yung mga signs and symptoms, nagkakaiba iba xa depende kung gaano kaSEVERE yung
hypercalcemia. Andito yung mga list ng signs and symptoms depending on the severity. 1. Reduced Neuromuscular activity. *bec it suppress activity at the myo neural junction.  Muscle weakness and Incoordination.  Diminished DTR (Deep Tendon Reflex). *kc pag may hypercalcemia, suppressed din yung NERVOUS SYSTEM kaya diminished yung deep tendon reflex. 2. Decreased tone in smooth and striated muscle.  Constipation *kasi diba sabi,pag may HYPERCALCEMIA, decreased yung PERISTALTIC MOTION kaya nagkakaroon ng CONSTIPATION.  Nausea  Vomiting  Anorexia Take Note: Dehydration occurs with anorexia, nausea, vomiting and constipation together with calcium reabsorption at the proximal renal tubule. *so,nag kakaroon ng ganitong symptoms kc may dehydration which is the primary reason kung bakit nagkakahypercalcemia kc nga nag popromote xa ng calcium REABSORPTION.  Abdominal and Bone Pain. *Pag may hypercalcemia kasi, yung calcium na dpt nsa loob ng buto eh nandodoon sa labas kaya nagkakaroon ng bone pain. Katulad din sa abdominal pain na yung calcium na dapat nsa  Excessive Urination. *dahil sa disturbed renal FUNCTION.  Severe THIRST. *Secondary xa sa POLYURIA(excessive urination), dahil ihi nga ng ihi, naiistimulate yung THIRST MECHANISM.

CHRONIC PHASE S/SX:

1.Symptoms similar to PUD (Peptic Ulcer Disease). *kasi, pag may hypercalcemia, nag increase yung secretion ng ACID at PEPSIN sa STOMACH.

SEVERE PHASE (hypercalcemic) s/sx: *Ito na yung SEVERE case ng hypernatremia. Considered xa as an EMERGENCY
SITUATION kasi very dangerous and it can lead to CARDIAC ARREST. 1.Thirst 2.Polyuria 3.Muscle weakness 4.Abdominal Cramps 5.OBSTIPATION (very severe constipation) 6.Diarrhea 7.Peptic Ulcer Symptoms 8.Bone Pain. 9.Slurred Speeh, Acute psychotic behavior, Impaired memory. 10.Lethargy, confusion and COMA may also occur.

*TAKE NOTE: The more severe the symptoms kung yung calcium level is 16 mg/dL (4mmol/L) or higher. However, nareresolve naman tong mga symptoms na eto kapag yung calcium level ay bumalik na sa normal after treatment.