we have some bad news today for I'd chloride miss salty sodium's forgotten sister is totally depressed and she's deformed hypo meaning low chloride meaning well chloride amia in the blood so chloride less than 97 in the blood now chlorides main function is to help her sisters salty sodium to maintain blood volume blood pressure and the pH balance of your body fluids regulated by sodium her super salty famous sister so we use the acronym champ C stands for chloride lost from fluids such as vomiting diarrhea or NG tube suctioning in excess also sweating fevers or burns it really wastes a lot of chloride hyponatremia this low sodium because guys remember please that chloride always follows sodium her salty sister a is for Addison's disease and adrenal crisis since Addison's causes hyponatremia this low sodium you'll have low chloride as well M is for medications such as diuretics which increases excretion of chloride as well as sodium and potassium our last cause P stands for pH imbalances from metabolic alkalosis basically fluid loss from the GI tract like in vomiting so easy way to remember metabolic alkalosis is because it sounds like you're vomiting so what's going on in hypo chloride emia well low low chloride right and since chloride just follows her salty sister of a sodium around you're gonna have the same signs and symptoms as hyponatremia that low sodium everything in the body is gonna be usually depressed and deflated so cardiovascularly the heart will be depressed and deflated vital signs will be hypotensive that low sodium causes low fluid volume or hypotension so chloride is low salt is also low EKGs you'll have dysrhythmias again because chloride deficits are so similar to sodium deficits and remember that sodium aids in the initiation of action potential in the cardiac muscle basically fancy words for it helps the heart pump the respiratory system your lungs are gonna be depressed and deflated you'll have dyspnea difficulty breathing from a depressed deflated diaphragm muscle basically that muscle right under the lungs right here you'll also have shortness of breath ineffective respiratory movement neurologically your brain will be depressed and deflated so you'll have a jeté ssin irritability seizures comas and obviously confusion GI in your intestines and GU and your urinary tract will be depressed and deflated so you'll have diarrhea and nausea and vomiting everything wants to leave the body and lastly musculoskeletal depressed and deflated too so you'll have tremors and muscle cramps so now that we know what's wrong what are we gonna do about it so for our nursing interventions it's kind of a simple fix we're just gonna add salt because chloride will always follow so we'll give salty solutions like IV normal saline or half an s 0.45 normal saline and also teach your patient to avoid free water because this can add and cause hemo die Lucien or basically a low and liquidy lab value alright that wraps up low chloride for a hypo chloride emia alright guys that wraps up our lesson here and we'll see you in the next video