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CMSRN Exam Prep 2021-2022: A Medical Surgical Nursing Study Guide with Test Bank

CMSRN Exam Prep 2021-2022: A Medical Surgical Nursing Study Guide with Test Bank

what type of hyponatremia is most common, results from excessive fluid intake and leads to decreased serum sodium concentration? - dilutional hypotnatremia

symptoms of diltuional hyponatremia - edema, confusion, weight gain

treatment of dilutional hyponatremia - fluid restriction

what type of hyponatremia results from fluid and sodium loss? - true hyponatremia

symptoms of true hyponatremia - dry tissue, weight loss, hypotension, tachycardia

treatment of true hyponatremia - replace sodium AND water (NS or LR)

causes of true hyponatremia - burns, hemorrhage, adrenal insufficiency

what type of sodium imbalance is caused by decreased fluid intake or water loss without loss of sodium? - hypernatremia

causes of hypernatremia - fever, IVF with sodium, DI, high protein TF

symptoms of hypernatremia - dry tissues, weight gain, thirst, tachycardia, oliguria

treatment of hypernatremia - decrease sodium, replace fluids

which electrolyte does sodium work with? - chloride - works to maintain acid/base balance

which labs are most important to watch with potassium abnormalities? - renal

what does potassium have an inverse relationship with? - PH, insulin, calcium

causes of hyperkalemia - cell wall destruction, increased intake, potassium sparing diuretics, renal failure, acidosis

symptoms of hyperkalemia - irritable muscles, cardiac arrhythmias, hyperactive bowels, bladder

treatment of hyperkalemia - limit intake, kaexylate, calcium gluconate, IV glucose and insulin, dialysis

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Subjects of Certified Medical-Surgical Registered Nurse - Chamberlain College Of Nursing

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