MED SURGE III FLUID AND ELECTROLYTE EXAM SET 2 (FROM HINKLE & CHEEVER CHAPTER 10 AND ATI) & 100 CORRECT ANSWERS | LATES UPDATE

MED SURGE III FLUID AND ELECTROLYTE EXAM SET 2 (FROM HINKLE & CHEEVER CHAPTER 10 AND ATI) & 100 CORRECT ANSWERS | LATES UPDATE Expected range for Sodium ANSWER: 135-145 mEq/L Signs and Symptoms of hypOnatreamia (less than 134 mEq/L) ANSWER: Anorexia nausea/vomiting headache lethargy dizziness/confusion muscle crams, weakness and twitching seizures dry skin increased pulse decreased BP weight gain edema Lab results with hypOnatremia ANSWER: Low serum and urine sodium low urine specific gravity and osmolality (<1.005) Signs and symptom of hypErnatremia (greater than 145 mEq/L) ANSWER: Thirst elevated temp swollen dry tongue, sticky mucous membranes hallucinations lethargy, restlessness, irritability clonic -tonic seizure pulmonary edema hyperreflexia, twitching increased pulse and BP lab results with hypErnatremia ANSWER: increased serum sodium increased urine specific gravity and osmolality (>1.030) decreased urine sodium decreased CVP Expected range for Calcium ANSWER: 9.0 - 10.5 mg/dL Signs and symptoms of hypOcalcemia ANSWER: Positive Trousseau and Chvostek signs numbness, tingling of fingers/toes carpopedal spasms hyperactive DTR arability bronchospasm anxiety impaired clotting decreased prothrombin diarrhea low BP prolonged QT interval