CMSRN Exam 2023 with 100% correct answers

Examples of third spacing Ascites, edema, burn Dilutional Hyponatremia Excessive fluid intake Edema, confusion, weight gain Treatment: decrease fluid intake "swells, rings tight" True Hyponatremia Loss of fluid and Na Weight loss, DRY, hypotensive, tachy, DEHYDRATED Tx: replace both sodium and water Hypernatremia Causes Fevern unresponsive to traditional interventions, Na IV fluids, DI, tube feeds Hypernatremia Symptoms DRY, thirst, tachy, oliguria(compensating) Hypernatremia treatment Decrease Na and replace fluids Cl Acts like Na Buffer to maintain pH Hyperkalemia Causes Cell wall destruction Increased intake K sparing diuretics Renal failure Acidosis Hyperkalemia symptoms Irritable muscles Dysrhythmias Hyperactive bowels/bladder- diarrhea, frequency, urgency Hyperkalemia tx Limit intake Kayexalate Ca gluconate IV glucose Dialysis