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Exam (elaborations)

CMSRN QUESTIONS AND ANSWERS 100% SOLVED

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CMSRN QUESTIONS AND ANSWERS 100% SOLVED what type of hyponatremia is most common, results from excessive fluid intake and leads to decreased serum sodium concentration? dilutional hypotnatremia symptoms of diltuional hyponatremia edema, confusion, weight gain Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:03 / 0:15 Full screen Brainpower Read More treatment of dilutional hyponatremia fluid restriction what type of hyponatremia results from fluid and sodium loss? true hyponatremia symptoms of true hyponatremia dry tissue, weight loss, hypotension, tachycardia treatment of true hyponatremia replace sodium AND water (NS or LR) causes of true hyponatremia burns, hemorrhage, adrenal insufficiency what type of sodium imbalance is caused by decreased fluid intake or water loss without loss of sodium? hypernatremia causes of hypernatremia fever, IVF with sodium, DI, high protein TF symptoms of hypernatremia dry tissues, weight gain, thirst, tachycardia, oliguria treatment of hypernatremia decrease sodium, replace fluids which electrolyte does sodium work with? chloride - works to maintain acid/base balance which labs are most important to watch with potassium abnormalities? renal what does potassium have an inverse relationship with? PH, insulin, calcium causes of hyperkalemia cell wall destruction, increased intake, potassium sparing diuretics, renal failure, acidosis symptoms of hyperkalemia irritable muscles, cardiac arrhythmias, hyperactive bowels, bladder treatment of hyperkalemia limit intake, kaexylate, calcium gluconate, IV glucose and insulin, dialysis what electrolyte imbalance should you avoid green leafy vegetables and citrus fruits? hyperkalemia what electrolyte are avocado, dried fruits, and potato skins high in? potassium causes of hypokalemia vomiting, diarrhea, DKA, prolonged NG suction, burns, potassium wasting diuretics symptoms of hypokalemia muscle flaccidity and weakness, constipation, alkalosis, shallow respirations, cardiac arrest treatment for hypokalemia potassium supplements, monitor magnesium levels normal calcium level 9-10.5 where is calcium stored? bones what vitamin is important for calcium absorption Vitamin D what does calcium have an inverse relationship with? phosphorous which electrolyte imbalance increases bleeding risk? hypocalcemia

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CMSRN
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CMSRN

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CMSRN QUESTIONS AND ANSWERS
100% SOLVED

ADH (Antidiuretic Hormone) - answer-Secreted by the pituitary gland
-Promotes reabsorption of water back into the blood
-Creates small amounts of dilute urine
-Released when osmolarity is high and when there is low ECF
-"Tap water hormone"

Aldosterone - answer-Secreted by the adrenal cortex
-Promotes reabsorption of sodium and water back into the blood
-Creates a small volume of urine with a low concentration
-Released when angiotensin is released and when there is high osmolarity
-"Salt water hormone"

Isotonic Fluids - answer-Normal saline (NaCl), Ringer's (NaClK+Ca++), and Ringer's
lactate (NaClK+Ca++ and Lactate)
-Extracellular only (1/3 vascular, 2/3 interstitial)
-Used in emergencies to improve profusion and oxygenation

Hypertonic Fluids - answerHypertonic Fluids

Signs and Symptoms of Hypernatremia - answer-Thirst
-Olgiuria
-Confusion, lethargy
-Seizures
-Coma
-High serum level

Signs and Symptoms of Hyponatremia - answer-Malaise
-N/V
-Confusion, lethargy
-Seizures
-Coma
-Low serum levels

PTH - answer-Increases levels of calcium in the blood by releasing calcium from bones,
promoting reabsorption via kidneys and increasing absorption from the small intestine
-Released when serum calcium levels are decreased

Signs and Symptoms of Hypocalcemia - answer-Positive Chvostek/Trousseau sign

, -Muscle twitching/cramping
*Grimacing
*Carpopedal spasm
-Tetany
*Laryngospasm
*Seizures
-Cardiac dysrhythmias
-Twitchy disorder

Signs and Symptoms of Hypercalcemia - answer*Anorexia
-Constipation
-N/V
*Muscle weakness
-Fatigue
-Confusion/lethargy
*Personality/mood changes
-Polyuria
*Diminished reflexes
*Decreased LOC
-Cardiac dysrhythmias
-Floppy disorder

Signs and Symptoms of Hyperkalemia - answer-Intestinal cramping and diarrhea
-Flaccid skeletals muscles
-Flaccid paralysis
-Cardiac dysrhythmias
-Cardiac arrest

Signs and Symptoms of Hypokalemia - answer*Abdominal distention
*Decreased bowel sounds
-Constipation
*Paralytic ileus
-Polyuria
-Orthostatic hypotension
*Flaccid skeletal muscles
-Flaccid paralysis
-Cardiam dysrhythmias

Signs and Symptoms of Hypermagnesemia - answer-Hypotension
-Feeling of warmth
-Bradycardia
-Drowsiness, lethargy
-Wear or absent deep tendon reflexes
-Flaccid muscle paralysis
-Respiratory depression
-Cardiac dysrhythmias

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