CMSRN Exam Verified 100% Correct

CMSRN Exam Verified 100% Correct Examples of third spacing - Answer ️️ -Ascites, edema, burn Dilutional Hyponatremia - Answer ️️ -Excessive fluid intake Edema, confusion, weight gain Treatment: decrease fluid intake "swells, rings tight" True Hyponatremia - Answer ️️ -Loss of fluid and Na Weight loss, DRY, hypotensive, tachy, DEHYDRATED Tx: replace both sodium and water Hypernatremia Causes - Answer ️️ -Fevern unresponsive to traditional interventions, Na IV fluids, DI, tube feeds Hypernatremia Symptoms - Answer ️️ -DRY, thirst, tachy, oliguria(compensating) Hypernatremia treatment - Answer ️️ -Decrease Na and replace fluids Cl - Answer ️️ -Acts like Na Buffer to maintain pH Hyperkalemia Causes - Answer ️️ -Cell wall destruction Increased intake K sparing diuretics Renal failure Acidosis Hyperkalemia symptoms - Answer ️️ -Irritable muscles Dysrhythmias Hyperactive bowels/bladder- diarrhea, frequency, urgency Hyperkalemia tx - Answer ️️ -Limit intake Kayexalate Ca gluconate IV glucose Dialysis Hypokalemia Causes - Answer ️️ -Vomiting Diarrhea NG suction Decreased PO Burns K wasting diuretics Hypokalemia Symptoms - Answer ️️ -Muscle flaccidity- not there to stimulate Weakness Constipation Alkalosis-resps Shallow Resps Cardiac arrest Hypokalemia Tx - Answer ️️ -Supplement Foods high in potassium - Answer ️️ -Citrus fruits and dried fruits, bananas, watermelon, potatoes, legumes, tea and peanut butter, avocado Calcium purpose - Answer ️️ -Sedative at nerve level Coagulation- look at level with invasive procedures!! Bone/teeth strength Hypercalcemia Causes - Answer ️️ -Cancer Metastatic bone disease hyperparathyroidism Thiazide diuretics Excessive vitamin D Hypercalcemia Symptoms - Answer ️️ -Sedation Lethargy Hypoactive reflex