NGN NCLEX Review download to score A
NGN NCLEX Review download to score A
Normal Sodium level - CORRECT ANSWER 135-145
Hyponatremia - CORRECT ANSWER low sodium in the blood
Chronic: Anorexia, Nausea, Emesis, Muscular, Weakness, Irritability
Severe: gait changes, stupor, seizures, coma
causes of hyponatremia - CORRECT ANSWER Causes of hyponatremia:
Diuretics-Thiazide Drugs
Dietary Changes,Low Na diet,
Excessive water intake with sweating
Fad diets, Anorexia nervosa.
GI vomiting, diarrhea, GI suctioning,
Tap water enemas,diuretics, kidney disease
Treatments for hyponatremia - CORRECT ANSWER 0.9% NaCl, accurate I&O, vitals
(pulse), watch for signs of water intoxication, monitor blood gases, watch for respiratory
difficulties
Hypernatremia - CORRECT ANSWER high sodium in the blood
Mild: thirst, rough dry tongue, dry sticky mucous membranes, tachycardia, fever, flushed
dry skin
Severe: disorientation, hallucinations, lethargy, irritability, seizure, coma
causes of hypernatremia - CORRECT ANSWER Causes:
Dietary Changes-Excessive Salt intake
Excessive IV Saline
Deprivation of water
GI Disorders (Watery Diarrhea)
Decreased Renal Function
Insensible Water Loss
Heat Stroke
Salt water drowning
Head Injury Trauma
treatments for hypernatremia - CORRECT ANSWER restrict sodium intake, identify
drugs that are sodium retaining, monitor Na levels daily, check for rales, edema in lower
extremities, I&O, Urine specific gravity
urine specific gravity level - CORRECT ANSWER >1.015
normal potassium levels - CORRECT ANSWER 3.5-5.0 mEq/L
hypokalemia - CORRECT ANSWER low potassium
, NGN NCLEX Review download to score A
nausea, vomiting, diarrhea, vertigo, ventricular arrhythmias, hypotension, polyuria,
muscle cramps, alkalosis, lethargy
causes of hyponatremia - CORRECT ANSWER Malnutrition; Alcoholism
Potassium wasting diuretics
Renal Failure, Hyperaldosteronism
Steroids
GI Losses;laxative abuse,diarrhea,vomiting,
gastric suctioning
Trauma & injury, excessive sweating
Alkalosis, Insulin
treatments for hypokalemia - CORRECT ANSWER oral supplements or food
replacement, K Cl(20-40) meq, Kay Ciel, Kaochlor, oral potassium is extremely irritating
to the stomach and should be diluted in water
hyperkalemia - CORRECT ANSWER high potassium
Abd cramps
Tachycardia
Widened QRS
Ventricular arrhythmia
Cardiac Arrest
Oliguria
Numbness face, tongue, feet , hands
causes of hyperkalemia - CORRECT ANSWER Excessive K intake, IV K Infusions
Decreased renal function
K sparing diuretics -Aldactone,Dyrenium
Metabolic Acidosis,Hypergylcemia
Addisons disease
Hemolysis, Chemotherapy
Tissue damage, crush injuries, burns
Drugs: Capotril,Cyclosporin, Heparin, Dig toxicity,Penicillin Salts, Beta Blockers
treatments for hyperkalemia - CORRECT ANSWER Potassium restriction
IV sodium bicarb
Kayexalate (sodium polystyrene sulfonate)
Orally given every 4-6 hours and results occur in 1-2 hours
Rectally given has a retention enema every 2-4 hours
Enema removes K in 30-60 minutes
Monitor labs and EKG
normal calcium levels - CORRECT ANSWER 9.0-10.5 mEq/l
hypocalcemia - CORRECT ANSWER low calcium in blood
Tetany
