Laura Gasparis ccrn Exam 2025
Questions and Answers
syndrome of inappropriate ADH (SIADH) - ANSWER-too much ADH -- holds
on to water
SIADH effects - ANSWER-dilutional hyponatremia, hypo-osmolar (<275), dec
urine output
causes of SIADH - ANSWER-oat cell carcinoma, viral pneumonia, head problems,
inc serum osmolarity, anesthesia, analgesics, stress
complications of SIADH - ANSWER-seizure
treatment of SIADH - ANSWER-fluid restriction, hypertonic solution (3% NaCl)
hypotonic solution goes where - ANSWER-in cells
hypertonic solution - ANSWER-3%NaCl, D50.9NS, D50.45NS
effects of too much hypertonic solution - ANSWER-fluid overload, CHF
diabetes insipidus - ANSWER-no ADH
causes of diabetes insipidus - ANSWER-head problems, dilantin
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, normal urine specific gravity - ANSWER-1.005-1.030
complication of DI - ANSWER-severe hypovolemia (shock)
treatment for DI - ANSWER-give ADH (pitressin, vasopressin), fluids
GI treatment monitor - ANSWER-EKG for ischemia
hypoglycemia symptoms - ANSWER-cardiac sx from adrenaline (tachycardia,
palpitations, diaphoresis, irritable, restlessness) then CNS (confusion, lethargy,
slurred speech, seizure, coma)
interference w/ hypoglycemia symptoms - ANSWER-if on beta blocker, no
adrenaline then no cardiac sx
risk factors of HHS - ANSWER-TPN, diet controlled diabetics, old age,
pancreatitis
HHS - ANSWER-dehydrated, BG 1000-2000, no ketones in urine
Kussmaul breathing - ANSWER-fast and deep breathing to blow off CO2 from
acidosis from DKA
pH and K+ - ANSWER-acidosis --> acid goes in cell, K come out of cell so high
K
problem with cortex - ANSWER-decorticate
problem with brainstem - ANSWER-decerebrate
decerebrate - ANSWER-extend
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
Questions and Answers
syndrome of inappropriate ADH (SIADH) - ANSWER-too much ADH -- holds
on to water
SIADH effects - ANSWER-dilutional hyponatremia, hypo-osmolar (<275), dec
urine output
causes of SIADH - ANSWER-oat cell carcinoma, viral pneumonia, head problems,
inc serum osmolarity, anesthesia, analgesics, stress
complications of SIADH - ANSWER-seizure
treatment of SIADH - ANSWER-fluid restriction, hypertonic solution (3% NaCl)
hypotonic solution goes where - ANSWER-in cells
hypertonic solution - ANSWER-3%NaCl, D50.9NS, D50.45NS
effects of too much hypertonic solution - ANSWER-fluid overload, CHF
diabetes insipidus - ANSWER-no ADH
causes of diabetes insipidus - ANSWER-head problems, dilantin
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
, normal urine specific gravity - ANSWER-1.005-1.030
complication of DI - ANSWER-severe hypovolemia (shock)
treatment for DI - ANSWER-give ADH (pitressin, vasopressin), fluids
GI treatment monitor - ANSWER-EKG for ischemia
hypoglycemia symptoms - ANSWER-cardiac sx from adrenaline (tachycardia,
palpitations, diaphoresis, irritable, restlessness) then CNS (confusion, lethargy,
slurred speech, seizure, coma)
interference w/ hypoglycemia symptoms - ANSWER-if on beta blocker, no
adrenaline then no cardiac sx
risk factors of HHS - ANSWER-TPN, diet controlled diabetics, old age,
pancreatitis
HHS - ANSWER-dehydrated, BG 1000-2000, no ketones in urine
Kussmaul breathing - ANSWER-fast and deep breathing to blow off CO2 from
acidosis from DKA
pH and K+ - ANSWER-acidosis --> acid goes in cell, K come out of cell so high
K
problem with cortex - ANSWER-decorticate
problem with brainstem - ANSWER-decerebrate
decerebrate - ANSWER-extend
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
