Any Hurst Reviewers Out There!!

Walking N2 MyDestiny · Aug 8, 2008

I would like to start this thread for those who are using Hurst Review to help them defeat the NCLEX Monster.
Let's use this as a study thread!!
1st Topic is Fluids & Electrolytes
What is Fluid Volume Excess? Too much fluid in your vascular space. (Veins, Arteries, capillaries also in the inside of your heart)
What causes Fluid Volume Excess? CHF/RF/IV fluids with Na,alkaseltzer, fleets enema, Aldosterone and ADH.
What can you tell me about Aldosterone? It makes you retain Na and Water. In your vascular space.
What can you tell me about ADH? It makes you retain water. In your vascular space.
:typing

The next topic will be ACID/BASE.

VANESSA WILLIAMS · Aug 8, 2008

1. To much fluid

2.SIADH- Syndrome of Inappropriate Diurectic Hormone-reabsorption of fluid

3.Aldosterone-hormone thats essential to the body and it regulates all electrolytes

4.ADH-secreted by the Pituitary Gland regulates the amount of water being excreted by kidneys.

Walking N2 MyDestiny · Aug 8, 2008

1. To much fluid
2.SIADH- Syndrome of Inappropriate Diurectic Hormone-reabsorption of fluid
3.Aldosterone-hormone thats essential to the body and it regulates all electrolytes
4.ADH-secreted by the Pituitary Gland regulates the amount of water being excreted by kidneys.

With SIADH-Do you have too much/too little ADH?

VANESSA WILLIAMS · Aug 11, 2008

Too little maybe

Editorial Team / Moderator · Aug 11, 2008

With SIADH-Do you have too much/too little ADH?

Excessive ADH -- all that extra anti-diuretic action makes someone with SIADH retain fluids.

VANESSA WILLIAMS · Aug 11, 2008

So the answer is to much ADH since your retaining fluid

VANESSA WILLIAMS · Aug 11, 2008

LunahRN

Do I understand this correct since your retaining fluid does that mean you have too much ADH?

Editorial Team / Moderator · Aug 11, 2008

LunahRN
Do I understand this correct since your retaining fluid does that mean you have too much ADH?

Flip it around, and you'll be right -- if you have too much ADH you will retain fluid. But retaining fluid does not necessarily mean you have too much ADH. Do you see what I mean? There are other reasons a person could retain fluids -- it's not always ADH.

Walking N2 MyDestiny · Aug 11, 2008

LunahRN
Do I understand this correct since your retaining fluid does that mean you have too much ADH?

That is correct!:typing

Walking N2 MyDestiny · Aug 11, 2008

That is correct!:typing

Also you can have too much ADH-which will result in SIADH (you will retain water) and you can have not enough ADH which will result in DI-which you will lose water.

VANESSA WILLIAMS · Aug 11, 2008

LunahRN,

Yes, I know there's other reason people retain to much fluid..I understand that much but when you say flip it around what do you mean? Did I answer the question right as well meaning to much fluid if you have Excessive ADH. Thanks so much.