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Test your basic knowledge |
Emergency Medicine: Fluid Therapy
Start Test
Study First
Subjects
:
health-sciences
,
emergency-medicine
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. A particle that does not generate osmotic pressure because it is freely permeable across a membrane.
breakdown of the loss from the ECF compartment
goals of fluid resuscitation
ineffective osmole
clinical indications for hypotonic crystalloids
2. Maintain the animal in zero fluid balance - with input equaling output.
maintenance for a normal adult cat
hydroxyethyl starch
clinical indications for hypotonic crystalloids
goal of maintenance fluids
3. 4 ml/kg IV bolus
signs of hypovolemia
properties of hypotonic crystalloids
interstitial fluid
shock dose for hypertonic saline
4. A decrease in in capillary oncotic pressure due to protein loss resulting in filtration of fluid into the interstitial fluid.
ICF in large animals
edema
potassium
shock dose for hypertonic saline
5. Used in neonates and avian species with limited vascular access.
TBW is obese large animals and extremely large horses
shock does for hetastarch
typical uses for IO route of administration
TBW in adults
6. Resuscitation phase: if the animal is in shock -rehydration phase -maintenance phase
extracellular fluid (ECF)
traditional shock dose
total body water (TBW)
phases of a fluid therapy plan
7. Changes in body weight over time.
potassium
total osmolality
shock dose for hypertonic saline
most sensitive test for estimating fluid loss
8. Categorized based on tonicity compared to normal plasma -categorized based on electrolyte composition -categorized based on acid-base effects
indications for canine plasma
properties of colloids with large macromolecules
categorizations of crystalloids
edema
9. Interstitial fluid + blood
law of electroneutrality
extracellular fluid (ECF)
anion gap
alkalinizing crystalloids
10. The loss of isotonic fluids from the ECF - primarily from the interstitium
dextrose 5% in water (D5W)
adverse effects of isotonic crystalloids
hypotonic crystalloids
dehydration
11. Total body water
maintenance for a normal adult dog
clinical indications for hypotonic crystalloids
hypotonic crystalloids volume of distribution
properties of colloids with large macromolecules
12. 30% body weight
osmotic determinants of volume: ECF
TBW in adults
hypovolemia
ECF in large animal adults
13. 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
maintenance for a normal adult dog
normal osmolality of body fluid
plasma volume in cats
14. The difference between unmeasured anions and unmeasured cations.
advantages of the SC route of administration
maintenance for a normal adult horse
anion gap
extracellular fluid (ECF)
15. 20% body weight
complications of catheterization
TBW is obese large animals and extremely large horses
clinical indications for hypotonic crystalloids
ECF in small animal adults
16. Omolality of ECF increases - causing fluid to shift from the ICF to the ECF -ECF volume is partially maintained -ICF decreases - TBW decreases
clinical indications for isotonic crystalloids
maintenance for a normal adult cow
the effects of the loss of hypotonic fluid (water deprivation)
extracellular fluid (ECF)
17. A sunken eyes is associated with reduced volume in the ] - retrobulbar fat -qualitative
the effects of the loss of hypotonic fluid (water deprivation)
assessment in the position of the eye in orbit
properties of colloids with large macromolecules
total body water (TBW)
18. 0.9% NaCl -Plasmalyte -LRS
tonicity
indications for canine plasma
primary effect of colloids
hypertonic crystalloids
19. Albumin
TBW in adults
hydroxyethyl starch
canine plasma
most important colloid in the blood
20. Osteomyelitis -often only short-lived access
normal osmolality of body fluid
properties of hypotonic crystalloids
plasma volume in adults
disadvantages of the IO route of administration
21. Potential for transfusion reactions.
properties of colloids with small macromolecules
influence in body condition on the skin elasticity test
adverse effects of canine plasma
maintenance water requirement
22. 70 x BW (kg)^0.75
signs of hypovolemia
shock does for hetastarch
ECF in large animals less than 30 days of age
maintenance for a normal adult cat
23. 8% body weight
hypertonic crystalloids
ineffective osmole
blood volume in adults
mucous membrane moistness
24. 50 m;/kg/day
maintenance for a normal adult cow
osmotic determinants of volume: ECF
influence of age on the skin elasticity test
TBW in adults
25. 6% body weight
the effects of electrolyte loss without water loss (dialysis)
sensible fluid losses
iso-omolality of the body
blood volume in cats
26. 40 ml/kg/day
maintenance for a normal adult horse
advantages of the IO route of administration
disadvantages of the SC route of administration
properties of isotonic crystalloids
27. The concentration of effective osmoles + the concentration of ineffective osmoles.
sensible fluid losses
assessment in the position of the eye in orbit
total osmolality
most important colloid in the blood
28. The concentration of effective osmoles.
anion gap
tonicity
Vetstarch
adverse effects of canine plasma
29. Saliva -evaporation at skin -evaporation at the respiratory tract
clinical indications for hypotonic crystalloids
types of the fluids used for maintenance
insensible losses
hypotonic crystalloids volume of distribution
30. 70% body weight
sodium
plasma volume in cats
osmolality
TBW is obese large animals and extremely large horses
31. The loss of intravascular fluid.
types of the fluids used for maintenance
location of the skin elasticity test in horses
hypovolemia
ICF is small animals
32. 0.45% NaCl -D5W -Norm M
indications for canine plasma
plasma volume in cats
hypotonic crystalloids
ECF in small animal adults
33. Lower eyelid
location of the skin elasticity test in cattle
potassium
osmotic determinants of volume: ECF
categorizations of crystalloids
34. Osmolality of the solution is less that blood - causing a net increase in free water.
maintenance for a normal adult dog
properties of colloids with small macromolecules
maintenance for a normal adult cow
properties of hypotonic crystalloids
35. 10 to 20 ml/kg IV bolus
shock does for hetastarch
the effects of electrolyte loss without water loss (dialysis)
types of the fluids used for maintenance
bloodwork changes and dehydration
36. Practical - with limited equipment required -can be administered on an outpatient basis
advantages of the SC route of administration
adverse affects of hydroxyethyl starch
vascular expansion of hypertonic crystalloids
hypovolemia
37. 20 to 25 mmHG
total osmolality
hypertonic crystalloids
normal vascular oncotic pressure
potassium
38. 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
hypovolemia
categorizations of crystalloids
skin elasticity test
sensible fluid losses
39. The amount of saliva and tear film varies inversely with - hydration status -this is a qualitative test
indications for canine plasma
osmotic determinants of volume: ICF
sodium
mucous membrane moistness
40. For every positively charged ion in body fluids - there is a balancing negatively charged ion.
most important colloid in the blood
influence of age on the skin elasticity test
canine plasma
law of electroneutrality
41. Resuscitation -treating cerebral edema due to head trauma -correction of acute hyponatremia
clinical indication for hypertonic crystalloids
iso-omolality of the body
plasma volume in cats
ECF in large animal adults
42. 132 x BW (kg)^0.75
hydroxyethyl starch
bloodwork changes and dehydration
maintenance for a normal adult dog
location of the skin elasticity test in cattle
43. A function of daily obligatory solute excretion -based on body surface area rather than body weight
complications of catheterization
complications of the SC route of administration
maintenance water requirement
anion gap
44. Increased colloid oncotic pressure -shorter duration of effect due to rapid excretion
goals of fluid resuscitation
advantages of the SC route of administration
tonicity
properties of colloids with small macromolecules
45. Sodium and associated anions
osmotic determinants of volume: ECF
clinical indications for hypotonic crystalloids
the effects of isotonic fluid loss
maintenance for a normal adult cow
46. Direct vascular access and expansion -rapid administration possible -multiple type of fluids can be used
influence of age on the skin elasticity test
location of the skin elasticity test in horses
TBW in adults
advantages of the IV route of administration
47. LRS (lactate) -Plasmalyte (acetate) -Norm R (gluconate) -each provides a bicarbonate precursor
mucous membrane moistness
clinical indications for hypotonic crystalloids
alkalinizing crystalloids
the effects of electrolyte loss without water loss (dialysis)
48. 4% body weight
types of the fluids used for maintenance
adverse effects of canine plasma
plasma volume in cats
ECF in large animals less than 30 days of age
49. Young animals have increased elasticity -old animals have decreased elasticity
goals of fluid resuscitation
influence of age on the skin elasticity test
interstitial fluid
advantages of the SC route of administration
50. Osmolality of ECF does not change - initiating no fluid shift - between the ECF and ICF -ECF decreases - TBW decreases - and ICF is static
hydration parameters for physical examone
TBW in large animals less that 30 days of age
the effects of isotonic fluid loss
blood volume in adults