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Rush University Diagnostics NSG
531 Exam 1 Questions and Correct
Answers the Latest Update
Components of BMP
✓ Na, K, BUN, CO2, BUN, Creat, Gluc, Cl-
Hyponatremia S/S
✓ Nausea
✓ Muscle cramps
✓ Confusion
✓ Muscular twitching, coma
✓ Seizures
✓ Headache
hypernatremia s/s
✓ You are 'fried' or S.A.L.T.
✓ F - Fever (low grade), flushed skin
✓ R - Restless (irritable)
✓ I - Increased fluid retention and increased BP
✓ E - Edema (peripheral and pitting)
✓ D - Decreased urinary output, dry mouth
✓
✓ S = Skin flushed
✓ A = Agitation
✓ L = Low-grade fever
✓ T = Thirst
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hyperkalemia s/s
✓ M.U.R.D.E.R.
✓ M - Muscle weakness
✓ U - Urine, oliguria, anuria
✓ R- Respiratory distress
✓ D - Decreased cardiac contractility
✓ E - ECG changes
✓ R - Reflexes, hyperreflexia, or areflexia (flaccid)
Hypokalemia S/S
✓ A SIC WALT
✓ Alkalosis
✓ Shallow respiration
✓ Irritability
✓ Confusion and drowsiness
✓ Weakness and fatigue
✓ Arrhythmias- irregular heart rate, tachycardia
✓ Lethargy
✓ Thready pulse
✓ decrease intestinal mobility, nausea and vomiting
urine sodium is decreased in hyper or hyponatremia?
✓ hypernatremia. water follows Na. In dehydration
follow up labs on sodium
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✓ urine sodium, osmolality, and creatinine
FPG diabetes level
✓ > or = 126 mg/dl
when are factor assays tested
✓ prolonged PTT and or PT suggesting deficiency in one or more clotting factors
✓ - hypercoag workup
factor assays are elevated due to what factor
✓ 8 (vWD has a problem with 8) - problem with intrinsic pathway
vitamin k dependent factors
✓ II, VII, IX, X
when are factor assays decreased
✓ hemophilia A or B
what affects platelet function
✓ ASA
✓ NSAid
✓ prostaglandin
✓ nitric oxides
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✓ antimicrobials
✓ diruetics
✓ vasodilators
✓ heparin
✓ TPA
✓ antidepressants
✓ chemo drugs
Thrombotic Thrombocytopenic Purpura (TTP)
✓ Caused by deficiency of a vWF cleaving metalloprotease that triggers formation of
numerous thrombi within small vessels
Thrombotic Thrombocytopenic Purpura
✓ Platelest aggregate and form microthrombi occluding arterioles and capillaries,
dysfunction of a plasma metalloprotease responsible for producing von Willebrand
factor
the PTT tests which pathway
✓ intrinsic
the PT/INR tests which pathway
✓ extrinsic
what factors are in the intrinsic pathway
✓ 8,9,11
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