cute little chloride miss salty sodium's forgotten sister they call her four-eyed chloride because she's super nerdy and always behind the scenes but guess what she's not anymore she's back with a new look bigger and better than ever today we're wrapping up hyper chloride emia hyper meaning high chloride meaning wall chloride and amia in the blood cerium chloride levels above 107 now chlorides main function is to help her sister salty sodium to maintain blood volume blood pressure and the pH balance of your body fluids regulated by sodium her super salty famous sister now the main causes that increased chloride will be nearly the same as high sodium this hypernatremia since chloride follows sodium so the list of causes are trauma or head injury dehydration causing hemo concentration like from severe diarrhea which causes metabolic acidosis all that fluid comes out of your acidosis hyperparathyroidism could cause hyperchloremia as well as respiratory alkalosis which is basically hyperventilating or blow it out all that co2 that carbon diacid so I call it respiratory alkalosis kind of like your panting like a dumb hyperventilating alright guys so signs and symptoms and nursing assessments for high chloride well what's going on in hyperchloremia well high high chloride right and since chloride just follows her salty sister miss sodium around well guys you're gonna have the same signs and symptoms as hypernatremia that high sodium everything in the body is gonna be big and bloated so starting at the heart it's gonna be big and bloated your vital signs will show hypertension basically high blood pressure EKG you'll show dysrhythmias the lungs you'll have rapid deep respirations called tachypnea leading to respiratory alkalosis this hyperventilating as mentioned before it's basically blowing off too much co2 that carbon dioxide which I call carbon dioxide so when you blow out all your acid you're left in an alkyl loosest this base state so I remember this alkalosis for respiratory alkalosis as how basically like your panting like a dog breathing too much hyperventilating neurologically you'll have a big and bloated brain so ICP intracranial pressure as well as cognitive changes basically altered level of consciousness a LOC now the GI ng you you'll have diarrhea as well as diuresis a lot of peeing the muscles will be big and bloated you'll have lethargy fatigue and weakness and sometimes so bloated that you can't even move all right guys now that we know the causes what are we gonna do about it so guys some nursing interventions for a high chloride well it's a very simple fix we're just gonna really treat the causes here so restore fluid balance usually through IV or lactated ringers or normal saline and then we can also sprinkle on some sodium bicarb this usually will even out the chloride levels kind of like this alright guys that wraps up hyperchloremia for high chloride alright guys that wraps up our lesson here and we'll see you in the next video