100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
nicole cupchick endocrine CCRN Exam Questions and Answers 100% Pass $13.49   Add to cart

Exam (elaborations)

nicole cupchick endocrine CCRN Exam Questions and Answers 100% Pass

 2 views  0 purchase
  • Course
  • CCRN
  • Institution
  • CCRN

nicole cupchick endocrine CCRN Exam Questions and Answers 100% Pass osmolality - Answer- -the measure of solute concentration, defined as the number of osmoles of solute per liter of solution -normal serum osmo: 275-295 -IF YOUR OSMO'S HIGH YOU'RE LIKELY DRY -if osmo's Low you're diLute (wate...

[Show more]

Preview 3 out of 20  pages

  • March 16, 2024
  • 20
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • CCRN
  • CCRN
avatar-seller
BrittieDonald
nicole cupchick endocrine CCRN Exam Questions a nd Answers 100 % Pass osmolality - Answer - -the measure of solute concentration, defined as the number of osmoles of solute per liter of solution -normal serum osmo: 275 -295 -IF YOUR OSMO'S HIGH YOU'RE LIKELY DRY -if osmo's Low you're diLute (water retention) Isotonic fluids - Answer - stay in the vasculature -sodium chloride, lactated ringers, plasmalyte hypotonic fluids - Answer - fluid shifts from the vasculature to the cell - used for cellular hydration -0.45 sodium chloride, 0.2 sodium chloride, D5W -DO NOT USE to fluid resuscitate pt, could cause significant hypertension diabetes - Answer - metabolic syndrome with fasting BG >126 & A1C >6.5 -defect in insulin secretion, action of insulin or both 4 categories of diabetes - Answer - -type 1: beta cell destruction resulting in absolute insulin deficiency (autoimmune response) -type 2: insulin secretory defect; RESISTANCE resulting in RELATIVE insulin deficiency (central obesity, family hx) -other: due to other causes; genetic, medication induced (steroids) -gestational diabetes (due to pregnancy hypertonic solution - Answer - pulls fluid from the cell into the vasculature -D5 0.2 NS, D5 1/2 NS, D5 LR, Dextrose 10%, 2% Saline, 3% Saline, 5% Saline, 23.4% Saline -should be administered via central line -ex pt: cerebral HgbA1C - Answer - -estimates the effectiveness of diabetes therapy, average glucose over 3 month period of time -normal value 4 -5.6% (non -diabetic) -6-7%: average glucose range 100 -150 ->7%: indicative of poorly controlled glucose levels metabolic syndrome - Answer - -estimated 25% of the US population -40% incidence age >60 -high risk for developing CV disease and stroke "THE DEADLY QUARTET" 1) Dyslipidemia -Elevated triglycerides >150 -Low HDL <40 in males, <50 in females 2) Hypertension -Elevated BP: SBP>130 or DBP >85 3) Hyperglycemia -Fasting BG >100 or diagnosed T2DM 4) Abdominal obesity -Waistline >40 in men, >35 in women alpha & beta cells of the pancreas - Answer - -alpha cells produce glucagon (raises pt's glucose to prevent hypoglycemia) -beta cells produce insulin -delta cells produce somatostatin (inhibits release of glucagon & insulin) action of insulin - Answer - drives glucose, water & potassium into cells -regular insulin (IV) onset of action: 5 -10 mins mealtime fast acting insulin: -humalog (lispro), novolog SQ onset: 5 -15 mins. peak 1 -3 hrs, effects last 4 -6 hrs. rapid acting -regular insulin SQ onset of action: 30 mins. peak 1 -3 hrs, effects last 6 -8 hrs. short acting -NPH intermediate acting onset 1.5 -4 hrs, peak 4 -12 hrs, duration up to 24 hrs -lantus long -acting: inset 0.8 -4 hrs, minimal peak, up to 24 hr duration hypoglycemia causes - Answer - too much insulin, N/V, interrupted nutrition (oral, TF, or parenteral), strenuous exercise or stress, excessive ETOH, adrenal insufficiency, severe liver disease, pregnancy hypoglycemia symptoms - Answer - usually when BG <50 -70 or big shifts in glucose -CV (initial symptoms - activation of sympathetic nervous system): palpitations, tachycardia, diaphoresis, pallor, cool skin, piloerection, irritability -neuro: blurred vision, slurred speech, headache, difficulty concentrating, confusion, fatigue, weakness, diplopia, anxiety, tremors, staggering gate, seizure, coma

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller BrittieDonald. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart