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Emergency Medicine: Fluid Therapy
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Subjects
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health-sciences
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emergency-medicine
Instructions:
Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. 0.9% NaCl -reduction of SID due to an increase in Cl in relation to Na
most important colloid in the blood
alkalinizing crystalloids
acidifying crystalloids
TBW is obese large animals and extremely large horses
2. Total body water
maintenance for a normal adult cat
TBW in large animals less that 30 days of age
signs of hypovolemia
hypotonic crystalloids volume of distribution
3. Generates osmotic pressure by causing a shift of water across a boundary that is not permeable to the osmotically active particle.
acidifying crystalloids
Vetstarch
types of shock that are reponsive to fluid therapy
effective osmoles
4. Dose dependent coagulopathy due to dilution of clotting factors and impaired platelet aggregation - especially with hetastarch.
tonicity
adverse affects of hydroxyethyl starch
bloodwork changes and dehydration
TBW in adults
5. Dextrose allows for an initial match in blood osmolality - but does not act as an effective osmol - as it is rapidly metabolized.
adverse effects of isotonic crystalloids
dextrose 5% in water (D5W)
hydroxyethyl starch
advantages of the IV route of administration
6. Changes in body weight over time.
clinical indications for hypotonic crystalloids
most sensitive test for estimating fluid loss
bloodwork changes and dehydration
shock does for hetastarch
7. Omolality of ECF increases - causing fluid to shift from the ICF to the ECF -ECF volume is partially maintained -ICF decreases - TBW decreases
TBW is obese large animals and extremely large horses
the effects of the loss of hypotonic fluid (water deprivation)
ECF in small animal adults
indications for canine plasma
8. Decreased colloid oncotic pressure -longer duration of action due to longer circulation time
sodium
maintenance water requirement
properties of colloids with large macromolecules
typical uses for IO route of administration
9. Potassium - magnesium - and associated anions.
osmotic determinants of volume: ICF
signs of hypovolemia
plasma volume in cats
disadvantages of the IO route of administration
10. 70% body weight
hypotonic crystalloids
TBW is obese large animals and extremely large horses
maintenance for a normal adult cow
hypovolemia
11. Creation of acid-base disorders -tissue edema -pro-inflammatory effects
clinical indication for hypertonic crystalloids
the effects of the loss of hypotonic fluid (water deprivation)
adverse effects of isotonic crystalloids
the effects of isotonic fluid loss
12. A function of daily obligatory solute excretion -based on body surface area rather than body weight
maintenance water requirement
influence in body condition on the skin elasticity test
ECF in large animals less than 30 days of age
interstitial fluid
13. 70% body weight
ECF in small animal adults
dextrose 5% in water (D5W)
TBW in large animals less that 30 days of age
osmotic determinants of volume: BV
14. The difference between unmeasured anions and unmeasured cations.
signs of hypovolemia
anion gap
skin elasticity test
TBW in large animals less that 30 days of age
15. All body fluids are iso-osmolar is relation to other body flids despite a different ionic composition.
iso-omolality of the body
advantages of the SC route of administration
assessment in the position of the eye in orbit
goal of maintenance fluids
16. Saliva -evaporation at skin -evaporation at the respiratory tract
insensible losses
acidifying crystalloids
Vetstarch
tonicity
17. Sodium and associated anions
assessment in the position of the eye in orbit
osmotic determinants of volume: ECF
hypertonic crystalloids
properties of colloids with small macromolecules
18. Maintain the animal in zero fluid balance - with input equaling output.
disadvantages of the IO route of administration
goal of maintenance fluids
blood volume in adults
blood volume in cats
19. 30% body weight
clinical indications for hydroxyethyl starch
goals of fluid resuscitation
types of shock that are reponsive to fluid therapy
ECF in large animal adults
20. Osmolality of ECF decreases - causing fluid to shift from the ECF to the ICF -ICF volume increases -ECF volume decreases - TBW decreases
insensible losses
hypertonic crystalloids
the effects of electrolyte loss without water loss (dialysis)
anion gap
21. Categorized based on tonicity compared to normal plasma -categorized based on electrolyte composition -categorized based on acid-base effects
interstitial fluid
categorizations of crystalloids
potassium
plasma volume in adults
22. Pain and irritation -pressure necrosis -infection
adverse effects of hypertonic crystalloids
hydroxyethyl starch volume of distribution
complications of the SC route of administration
adverse effects of isotonic crystalloids
23. A sunken eyes is associated with reduced volume in the ] - retrobulbar fat -qualitative
osmotic determinants of volume: ICF
iso-omolality of the body
assessment in the position of the eye in orbit
skin elasticity test
24. Normalization of vital signs -MAP above 65 -urine output about 0.5 ml/kg/hr
location of the skin elasticity test in horses
goals of fluid resuscitation
tonicity
maintenance for a normal adult dog
25. LRS (lactate) -Plasmalyte (acetate) -Norm R (gluconate) -each provides a bicarbonate precursor
acidifying crystalloids
alkalinizing crystalloids
clinical indication for hypertonic crystalloids
osmotic determinants of volume: ICF
26. Replacing a free water deficit (hypernatremia) -during heart or renal disease when the patient has an impaired ability to handle sodium -maintenance fluid therapy (lower Na - high K)
edema
disadvantages of the IO route of administration
clinical indications for hypotonic crystalloids
plasma volume in adults
27. Hypovolemic is the most reponsive -distributive shock -obstructive shock - above the obstruction
types of shock that are reponsive to fluid therapy
maintenance for a normal adult dog
hypovolemia
signs of hypovolemia
28. Obese animals have increased elasticity -very thin animals have decreased elasticity
properties of colloids with small macromolecules
law of electroneutrality
complications of the SC route of administration
influence in body condition on the skin elasticity test
29. The elasticity of skin depends on hydration status -pull up the skin over the thorax and watch the speed at which - it returns to normal position -also able to assess overhydration
typical uses for IV route of administration
edema
skin elasticity test
osmolality
30. Resuscitation - to attain sustained vascular expansion - oncotic support during hypoproteinemia
clinical indications for hydroxyethyl starch
iso-omolality of the body
adverse effects of isotonic crystalloids
ECF in large animal adults
31. 300 mosm/L
normal osmolality of body fluid
complications of the SC route of administration
adverse affects of hydroxyethyl starch
location of the skin elasticity test in horses
32. 20 to 25 mmHG
normal vascular oncotic pressure
hypertonic crystalloids
clinical indications for hypotonic crystalloids
vascular expansion of hypertonic crystalloids
33. The loss of intravascular fluid.
hydroxyethyl starch
the effects of isotonic fluid loss
hypertonic crystalloids
hypovolemia
34. Young animals have increased elasticity -old animals have decreased elasticity
bloodwork changes and dehydration
shock does for hetastarch
clinical indications for hypotonic crystalloids
influence of age on the skin elasticity test
35. 30% body weight
isotonic crystalloids volume of distribution
ICF in large animals
TBW in adults
maintenance for a normal adult horse
36. Proportional to the number of non-dissociable (active) ions in solution -not a function of the weight of an ion
osmolality
location of the skin elasticity test in horses
primary effect of colloids
interstitial fluid
37. Correction of acid-base disorders -rehydration -replacement of ongoing losses -resuscitation
blood volume in adults
clinical indications for isotonic crystalloids
advantages of the IV route of administration
TBW in large animals less that 30 days of age
38. The loss of isotonic fluids from the ECF - primarily from the interstitium
dehydration
maintenance for a normal adult cow
hypertonic crystalloids
plasma volume in cats
39. Extracellular water + intracellular water
total body water (TBW)
advantages of the SC route of administration
clinical indications for isotonic crystalloids
complications of catheterization
40. A natural colloid that is not very efficient at raising albumin or COP.
skin elasticity test
disadvantages of the SC route of administration
canine plasma
traditional shock dose
41. 40% body weight
ineffective osmole
total osmolality
ECF in large animals less than 30 days of age
maintenance for a normal adult dog
42. Mucous membrane moistness -skin elasticity -position of the eye in orbit -changes in body weight -volume status (signs of hypovolemia) -thirst mechanism
hydration parameters for physical examone
osmotic determinants of volume: ECF
normal vascular oncotic pressure
disadvantages of the SC route of administration
43. Resuscitation phase: if the animal is in shock -rehydration phase -maintenance phase
bloodwork changes and dehydration
categorizations of crystalloids
phases of a fluid therapy plan
ECF in large animals less than 30 days of age
44. Potential for transfusion reactions.
properties of colloids with large macromolecules
adverse effects of canine plasma
disadvantages of the IO route of administration
the effects of isotonic fluid loss
45. No restricted by the endothelium -equilibrate rapidly between the interstitial and vascular spaces -cell membranes restrict movement from interstitial space - into cells bases on osmolality
hypotonic crystalloids
general properties of crystalloids
Vetstarch
TBW in large animals less that 30 days of age
46. 20% body weight
properties of hypotonic crystalloids
potassium
hydroxyethyl starch
ECF in small animal adults
47. Resuscitation -anesthetic patients -to treat significant dehydration and ongoing losses -critiacally ill patients
typical uses for IV route of administration
hypotonic crystalloids volume of distribution
typical uses for IO route of administration
TBW in adults
48. For every positively charged ion in body fluids - there is a balancing negatively charged ion.
properties of colloids with small macromolecules
maintenance for a normal adult dog
law of electroneutrality
edema
49. 6% body weight
hypovolemia
blood volume in cats
hydroxyethyl starch volume of distribution
sensible fluid losses
50. 0.45% NaCl -D5W -Norm M
hypotonic crystalloids
properties of isotonic crystalloids
properties of colloids with large macromolecules
insensible losses
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