CMSRN questions well answered 2023
CMSRNADH (Antidiuretic Hormone) - correct answer -Secreted by the pituitary gland -Promotes reabsorption of water back into the blood -Creates small amounts of dilute urine -Released when osmolarity is high and when there is low ECF -"Tap water hormone" Aldosterone - correct answer -Secreted by the adrenal cortex -Promotes reabsorption of sodium and water back into the blood -Creates a small volume of urine with a low concentration -Released when angiotensin is released and when there is high osmolarity -"Salt water hormone" Isotonic Fluids - correct answer -Normal saline (NaCl), Ringer's (NaClK+Ca++), and Ringer's lactate (NaClK+Ca++ and Lactate) -Extracellular only (1/3 vascular, 2/3 interstitial) -Used in emergencies to improve profusion and oxygenation Hypertonic Fluids - correct answer Hypertonic Fluids Signs and Symptoms of Hypernatremia - correct answer -Thirst -Olgiuria -Confusion, lethargy -Seizures -Coma -High serum level
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