SCRN ACUTE CARE: EXAM, 2025/2026 WITH CORRECT/ACCURATE ANSWERS

SCRN ACUTE CARE: EXAM, 2025/2026
WITH CORRECT/ACCURATE ANSWERS
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Neuro deterioration occurs when? - CORRECT ANSWERS- 24-48 H
after a stroke in 25 % of cases



Most common complications within first 4 days of stroke -
CORRECT ANSWERS- Pain

Fever

Progression of stroke

UTI



SIADH - CORRECT ANSWERS- Dilution hyponatremia

Fluid retention

"water intoxication"



S/S SIADH - CORRECT ANSWERS- Increased urine osmo

Low urine output

Hyponatremia

N/V

Confusion

HA

,Lethargic

Muscle twitching

Seizures

Normal HCT, Normal albumin

Decreased BUN

concentrated urine



Neurological causes of SIADH - CORRECT ANSWERS- TBI

SAH

Stroke

CNS

Brain tumors

MS

Pituitary surgery



Other causes of SIADH - CORRECT ANSWERS- Pneumonia

Oat cell carcinoma

Haldol

Morphine

Thiazides



Treatment of SIADH - CORRECT ANSWERS- Fluid restrictions
(treat volume overload)

, Administer sodium

Dont overcorrect (CPM)

Lasix

3% Hypertonic saline



Cerebral salt wasting - CORRECT ANSWERS- Kidneys are unable
to conserve sodium

Leads to hyponatremia and hypovolemia



Causative theories of CSW - CORRECT ANSWERS- SNS stimulation
of kidneys

Production of digoxin like peptides

Excess of BNP and ANp



S/S CSW - CORRECT ANSWERS- Hyponatremia

S/S hypovolemia

Increased HCT

Decreased CVP

Increased BUN/creatinine



Treatment of CSW - CORRECT ANSWERS- IVF

Hypertonic Saline

Salt tablets