CMSRN exam 2024

CMSRN exam 2024 when does alcohol withdrawal occur - Answer ️️ -12-48h after last drink. symptoms can begin after 4h, peak at 24-48h, last up to two weeks sundowner syndrome - Answer ️️ -symptoms at night, common in dementia but can occur without dementia, may be due to sensory overload tort - Answer ️️ -an action that wrongly causes harm to someone but is not a crime, and is dealt with in civil court. can be intentional (assault and battery) or unintentional (negligence). tort = wrongful act hydroxurea - Answer ️️ -has anti-sickle properties what is a big risk factor for sudden cardiac death/dysrhythmias - Answer ️️ -left ventricular dysfunction which compensatory mechanism in heart failure leads to inappropriate fluid retention - Answer ️️ -neurohormonal response: increases fluid retention (via aldosterone) and increases workload of heart by increasing peripheral vascular resistance what to monitor if patient has thyroidectomy - Answer ️️ -hypocalcemia-look at back of neck for signs of bleeding myxedema coma - Answer ️️ -untreated hypothyroid; sluggish/drowsy/lethargy/altered LOC, hypotension, bradypnea can be casused by infection, trauma, drugs, exposure to extreme cold what increases the chance of ventricular arrhythmia - Answer ️️ -systolic heart failure hypertensive urgency vs emergency - Answer ️️ -urgency: no end organ damage. EMERGENCY: evidence of end-organ damage, develops over hrs to days. don't decrease BP by >10% in first hou