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Emergency Medicine: Fluid Therapy

Instructions:
  • Answer 50 questions in 15 minutes.
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  • 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. 30% body weight






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






3. Hypovolemic is the most reponsive -distributive shock -obstructive shock - above the obstruction






4. 80 to 90 ml/kg IV bolus






5. 40 ml/kg/day






6. Potential for transfusion reactions.






7. 30% body weight






8. Urinary -fecal






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






10. Osmolality of ECF decreases - causing fluid to shift from the ECF to the ICF -ICF volume increases -ECF volume decreases - TBW decreases






11. Resuscitation -anesthetic patients -to treat significant dehydration and ongoing losses -critiacally ill patients






12. 6% body weight






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






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






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






16. Interstitial fluid + blood






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






18. 70% body weight






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






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






21. 0.45% NaCl -D5W -Norm M






22. Pain and irritation -pressure necrosis -infection






23. Total body water






24. Sodium and associated anions






25. 4 ml/kg IV bolus






26. The difference between unmeasured anions and unmeasured cations.






27. 1/4 from the intravascular space -3/4 from the interstitium






28. Expand the intravascular space by 4 to 6 times for a short duration.






29. A new formulation of hydroxyethyl starch that has decreased coagulopathy effects - safe up to 50 to 100 ml/kg/d






30. Potassium - magnesium - and associated anions.






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






32. Plasma proteins -sodium and associated anions






33. 0.9% NaCl -reduction of SID due to an increase in Cl in relation to Na






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






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






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






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






38. 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)






39. 70 x BW (kg)^0.75






40. 20 to 25 mmHG






41. 60% body weight






42. Proportional to the number of non-dissociable (active) ions in solution -not a function of the weight of an ion






43. 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






44. 4% body weight






45. 300 mosm/L






46. The loss of intravascular fluid.






47. The concentration of effective osmoles.






48. 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.






49. 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






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







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