Dilutional hyponatremia Study guides, Class notes & Summaries

After obtaining a blood specimen from a client's peripherally inserted central catheter (PICC), which of the following actions should the nurse take next? - Answer Flush with 20 mL 0.9% sodium chloride. What mL syringe is used for flushing a PICC line? - Answer 10 mL How often do we flush a PICC line? - Answer Before, between, and after medication How much force to do you apply if met with resistance while flushing a PICC line? - Answer None. Never apply force if met resistanc...

A symptom of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is: A) hyponatremia (dilutional). B) hyperosmolality (serum). C) hypernatremia (concentration). D)hypoosmolality (urine). - Answer-A A patient experiences nausea, vomiting, loss of body hair, fatigue, weakness, and hypoglycemia. The hormone deficiency the patient is most likely experiencing is that of: A) TSH (thyroid-stimulating hormone). B) LH (luteinizing hormone). C) ACTH (adrenocorticotropic hormon...

Endocrine Disorders - NCLEXAfter a hypophysectomy for acromegaly, what should be the priority of postoperative nursing care? A. Frequent monitoring of serum and urine osmolarity B. Parenteral administration of a growth hormone receptor antagonist C. Keeping the patient in a recumbent position for 2 days D. Patient teaching relate to lifelong ACTH and TSH hormone replacement - correct answer A. Frequent monitoring of serum and urine osmolarity A possible postoperative complication after hypo...

what are 3 treatments for DI? - 1) give ADH (pitressin, DDAVP), use cautiously in those with heart disease, may cause coronary artery ischemia 2) give fluids to replenish intravascular volume 3) monitor urinary output/specific gravity what is the pathophysiology of SIADH? (figure 10-1 pg 204) - too much ADH--> water retention--> decrease in serum Na+ (dilutional hyponatremia-CARDINAL SIGN); decreased urinary output; decreased osmolality (hypo-osmolality) measure of the number of par...

CMSRN EXAM REVIEW QUESTIONS AND ANSWERS, 100% ACCURATE. VERIFIED/ 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 Hypern...

CMSRN ExamExamples of third spacing - correct answer Ascites, edema, burn Dilutional Hyponatremia - correct answer Excessive fluid intake Edema, confusion, weight gain Treatment: decrease fluid intake "swells, rings tight" True Hyponatremia - correct answer Loss of fluid and Na Weight loss, DRY, hypotensive, tachy, DEHYDRATED Tx: replace both sodium and water Hypernatremia Causes - correct answer Fevern unresponsive to traditional interventions, Na IV fluids, DI, tube feeds Hy...

CCRN Exam Questions and Answers 100% Pass Where is ADH made? - Answer- Hypothalamus Where is ADH Stored? - Answer- Posterior Pituitary Where does ADH act to make the kidneys hold onto water? - Answer- Distal Convoluted & Collecting Tubules Disease of too much ADH = too much water! The increased ADH causes less urine output, decreased Na levels (dilutional hyponatremia) & Hypo-osmolarity. It is caused from Oat Cell Carcinioma, Viral PNA or head problems, also sometimes anesthesia, analges...

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 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 hyponat...

What is the normal range for sodium levels? 135-145 mEq/L What are some causes of hyponatremia? Addison's disease diuretics SIADH (dilutional) What are some causes of hypernatremia? Cushing's disease water deficit diabetes insipidus (DI) What are s/s of hyponatremia? confusion seizures muscle cramping & weakness What are s/s of hypernatremia? confusion seizures FVE muscle twitching muscle weakness What are interventions for hyponatremia? Na replacement (conivaptan hydrochloride) treat the...

Hyponatremia: Causes (<135 mEq/L) - -loss of Na+ -vomiting -diuretics -taking in too much water -water follows concentrated Na+ outside of cell -diluted Hypotonic Dilutional Hyponatremia - -water moves from outside of cell to dilute the inside -ADH is released the replenish water outside of the cell -not voiding Hyponatremia: Manifestations - -muscle cramps -weak -altering of consciousness/alertness - Hyponatremia: Treatment - - Hypernatremia: Causes (>145 mEq/L) - -decreas...