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. Typically an isotonic crystalloid with potassium added - -hypotonic crystalloids for animals with compromised renal - function of in heart failure -






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






3. 10 to 20 ml/kg IV bolus






4. Extracellular space - with rapid redistribution into the interstitium -only 20 to 30% of the fluids administered remain in the intravascular space after 20 to 30 minutes






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






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






7. Sustained volume expansion of the vascular space






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






9. 4 ml/kg IV bolus






10. Lower eyelid






11. Osteomyelitis -often only short-lived access






12. Osmolality of the solution is less that blood - causing a net increase in free water.






13. Potential for transfusion reactions.






14. Maintain the animal in zero fluid balance - with input equaling output.






15. 40% body weight






16. Creation of acid-base disorders -tissue edema -pro-inflammatory effects






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






18. Unreliable rate of absorption -cannot be used for resuscitation or replacement of fluids in critically ill patients -hypo- or hypertonic solutions cannot be used due to tissue damage and injury






19. Lateral neck skin






20. 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)






21. TBW - ECF -contains transcellular fluids such as peritonial fluid - CSF - pleural fluid - and synovial fluid.






22. 0.9% NaCl -Plasmalyte -LRS






23. 40 ml/kg/day






24. 5% body weight






25. 1/4 from the intravascular space -3/4 from the interstitium






26. A sunken eyes is associated with reduced volume in the ] - retrobulbar fat -qualitative






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






28. Urinary -fecal






29. The loss of isotonic fluids from the ECF - primarily from the interstitium






30. Extravasation of the catheter into the SC -thrombosis and thromboembolism -thrombophlebitis -infection of the catheter site and into the blood -can fragment and become a foreign body






31. 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






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






33. Polydispersed complex starch dissolved in 0.9% NaCl -small molecules confer oncotic pressure -large molecule confer duration of action -a synthetic colloid






34. 30% body weight






35. Changes in body weight over time.






36. Osmolality of solution is approximately equal to that of blood - replacing water as well as electrolytes.






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






38. Increased colloid oncotic pressure -shorter duration of effect due to rapid excretion






39. 20 to 25 mmHG






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






41. Pain and irritation -pressure necrosis -infection






42. Plasma proteins -sodium and associated anions






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






44. 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.






45. 8% body weight






46. 20% body weight






47. All body fluids are iso-osmolar is relation to other body flids despite a different ionic composition.






48. 80 to 90 ml/kg IV bolus






49. Saliva -evaporation at skin -evaporation at the respiratory tract






50. 0.45% NaCl -D5W -Norm M







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