Test your basic knowledge |

Emergency Medicine: Fluid Therapy

Instructions:
  • Answer 50 questions in 15 minutes.
  • If you are not ready to take this test, you can study here.
  • Match each statement with the correct term.
  • Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. Dose dependent coagulopathy due to dilution of clotting factors and impaired platelet aggregation - especially with hetastarch.






2. 0.45% NaCl -D5W -Norm M






3. Dextrose allows for an initial match in blood osmolality - but does not act as an effective osmol - as it is rapidly metabolized.






4. Practical - with limited equipment required -can be administered on an outpatient basis






5. Increased PCV and TP (hemoconcentration) -increased BUN (pre-renal azotemia) -sodium concentration will remain the same with isotonic loss






6. 4% body weight






7. Access to a vascular space when IV is not possible -rapid placement






8. Never use for resuscitation -never bolus; cannot administer rapidly






9. A particle that does not generate osmotic pressure because it is freely permeable across a membrane.






10. Occur at the loss of 30% of blood volume -occur when dehydration reached 10% of body weight






11. Resuscitation - to attain sustained vascular expansion - oncotic support during hypoproteinemia






12. Extracellular water + intracellular water






13. 132 x BW (kg)^0.75






14. Potential for transfusion reactions.






15. Potassium - magnesium - and associated anions.






16. 40 ml/kg/day






17. Sodium and associated anions






18. 0.9% NaCl -reduction of SID due to an increase in Cl in relation to Na






19. Primarily in the vascular space - depending on vascular permeability -increases vascualar volume by 1 to 1.5x volume given






20. Used in neonates and avian species with limited vascular access.






21. 6% body weight






22. 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)






23. Decreased colloid oncotic pressure -longer duration of action due to longer circulation time






24. The concentration of effective osmoles + the concentration of ineffective osmoles.






25. 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






26. 0.9% NaCl -Plasmalyte -LRS






27. LRS (lactate) -Plasmalyte (acetate) -Norm R (gluconate) -each provides a bicarbonate precursor






28. Categorized based on tonicity compared to normal plasma -categorized based on electrolyte composition -categorized based on acid-base effects






29. Correction of acid-base disorders -rehydration -replacement of ongoing losses -resuscitation






30. Omolality of ECF increases - causing fluid to shift from the ICF to the ECF -ECF volume is partially maintained -ICF decreases - TBW decreases






31. A natural colloid that is not very efficient at raising albumin or COP.






32. Sustained volume expansion of the vascular space






33. 30% body weight






34. 20 to 25 mmHG






35. 80 to 90 ml/kg IV bolus






36. Albumin






37. For every positively charged ion in body fluids - there is a balancing negatively charged ion.






38. 70% body weight






39. The difference between unmeasured anions and unmeasured cations.






40. 50 m;/kg/day






41. Normalization of vital signs -MAP above 65 -urine output about 0.5 ml/kg/hr






42. Mucous membrane moistness -skin elasticity -position of the eye in orbit -changes in body weight -volume status (signs of hypovolemia) -thirst mechanism






43. 70% body weight






44. Most commonly used to treat coagulopathies.






45. 10 to 20 ml/kg IV bolus






46. Osmolality of solution is greater than that of blood - causing a shift from fluid from the intersitium into the vascular space and rapid vascular volume expansion.






47. A function of daily obligatory solute excretion -based on body surface area rather than body weight






48. Interstitial fluid + blood






49. 40% body weight






50. Osmolality of ECF does not change - initiating no fluid shift - between the ECF and ICF -ECF decreases - TBW decreases - and ICF is static







Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?


Let me suggest you:

Browse all subjects

Browse all tests

Most popular tests



Major Subjects

Tests & Exams


AP
CLEP
DSST
GRE
SAT
GMAT

Browse all subjects

Browse all tests

Most popular tests