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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.
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. 20% body weight
ECF in small animal adults
clinical indications for isotonic crystalloids
normal vascular oncotic pressure
osmotic determinants of volume: BV
2. Albumin
types of shock that are reponsive to fluid therapy
most important colloid in the blood
ICF is small animals
primary effect of colloids
3. A particle that does not generate osmotic pressure because it is freely permeable across a membrane.
advantages of the IO route of administration
ineffective osmole
shock dose for hypertonic saline
dextrose 5% in water (D5W)
4. Primarily in the vascular space - depending on vascular permeability -increases vascualar volume by 1 to 1.5x volume given
hydration parameters for physical examone
hydroxyethyl starch volume of distribution
shock dose for hypertonic saline
ECF in large animals less than 30 days of age
5. Osteomyelitis -often only short-lived access
edema
disadvantages of the IO route of administration
osmotic determinants of volume: BV
maintenance for a normal adult cow
6. 5% body weight
plasma volume in adults
total body water (TBW)
types of the fluids used for maintenance
bloodwork changes and dehydration
7. 0.45% NaCl -D5W -Norm M
edema
complications of catheterization
hypotonic crystalloids volume of distribution
hypotonic crystalloids
8. Occur at the loss of 30% of blood volume -occur when dehydration reached 10% of body weight
typical uses for IO route of administration
acidifying crystalloids
ICF in large animals
signs of hypovolemia
9. 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 IV route of administration
mucous membrane moistness
shock does for hetastarch
10. Access to a vascular space when IV is not possible -rapid placement
advantages of the IO route of administration
vascular expansion of hypertonic crystalloids
primary effect of colloids
osmotic determinants of volume: ECF
11. 6% body weight
interstitial fluid
anion gap
acidifying crystalloids
blood volume in cats
12. Along with magnesium - constitutes the majority of positively charged ions in the ICF.
potassium
hypotonic crystalloids
bloodwork changes and dehydration
typical uses for IO route of administration
13. 70 x BW (kg)^0.75
maintenance for a normal adult cat
extracellular fluid (ECF)
maintenance water requirement
the effects of isotonic fluid loss
14. The loss of isotonic fluids from the ECF - primarily from the interstitium
properties of colloids with large macromolecules
most important colloid in the blood
location of the skin elasticity test in cattle
dehydration
15. Proportional to the number of non-dissociable (active) ions in solution -not a function of the weight of an ion
complications of catheterization
law of electroneutrality
TBW in adults
osmolality
16. 30% body weight
ECF in large animal adults
ICF in large animals
hydroxyethyl starch
adverse effects of hypertonic crystalloids
17. Dose dependent coagulopathy due to dilution of clotting factors and impaired platelet aggregation - especially with hetastarch.
adverse affects of hydroxyethyl starch
general properties of crystalloids
disadvantages of the SC route of administration
primary effect of colloids
18. Osmolality of solution is approximately equal to that of blood - replacing water as well as electrolytes.
properties of isotonic crystalloids
categorizations of crystalloids
maintenance for a normal adult cow
normal vascular oncotic pressure
19. Generates osmotic pressure by causing a shift of water across a boundary that is not permeable to the osmotically active particle.
effective osmoles
adverse affects of hydroxyethyl starch
the effects of the loss of hypotonic fluid (water deprivation)
maintenance water requirement
20. Obese animals have increased elasticity -very thin animals have decreased elasticity
influence in body condition on the skin elasticity test
adverse effects of isotonic crystalloids
normal osmolality of body fluid
plasma volume in cats
21. Polydispersed complex starch dissolved in 0.9% NaCl -small molecules confer oncotic pressure -large molecule confer duration of action -a synthetic colloid
hydroxyethyl starch
isotonic crystalloids volume of distribution
alkalinizing crystalloids
goals of fluid resuscitation
22. 4% body weight
plasma volume in cats
properties of colloids with small macromolecules
blood volume in adults
blood volume in cats
23. The amount of saliva and tear film varies inversely with - hydration status -this is a qualitative test
plasma volume in adults
mucous membrane moistness
phases of a fluid therapy plan
location of the skin elasticity test in cattle
24. Extracellular water + intracellular water
total body water (TBW)
typical uses for IV route of administration
hypovolemia
properties of colloids with small macromolecules
25. 1/4 from the intravascular space -3/4 from the interstitium
breakdown of the loss from the ECF compartment
blood volume in cats
hypotonic crystalloids
types of shock that are reponsive to fluid therapy
26. A decrease in in capillary oncotic pressure due to protein loss resulting in filtration of fluid into the interstitial fluid.
osmolality
osmotic determinants of volume: ICF
maintenance for a normal adult cat
edema
27. Creation of acid-base disorders -tissue edema -pro-inflammatory effects
disadvantages of the SC route of administration
maintenance for a normal adult cow
adverse effects of isotonic crystalloids
complications of catheterization
28. Maintain the animal in zero fluid balance - with input equaling output.
sensible fluid losses
ICF is small animals
properties of hypertonic crystalloids
goal of maintenance fluids
29. Osmolality of ECF does not change - initiating no fluid shift - between the ECF and ICF -ECF decreases - TBW decreases - and ICF is static
edema
sodium
anion gap
the effects of isotonic fluid loss
30. 20 to 25 mmHG
influence in body condition on the skin elasticity test
normal vascular oncotic pressure
hydration parameters for physical examone
traditional shock dose
31. 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)
law of electroneutrality
complications of the SC route of administration
ECF in large animal adults
clinical indications for hypotonic crystalloids
32. Categorized based on tonicity compared to normal plasma -categorized based on electrolyte composition -categorized based on acid-base effects
dextrose 5% in water (D5W)
influence of age on the skin elasticity test
categorizations of crystalloids
anion gap
33. The concentration of effective osmoles.
tonicity
clinical indication for hypertonic crystalloids
signs of hypovolemia
primary effect of colloids
34. A natural colloid that is not very efficient at raising albumin or COP.
ICF is small animals
hypovolemia
the effects of isotonic fluid loss
canine plasma
35. LRS (lactate) -Plasmalyte (acetate) -Norm R (gluconate) -each provides a bicarbonate precursor
disadvantages of the IO route of administration
TBW in adults
goals of fluid resuscitation
alkalinizing crystalloids
36. Pain and irritation -pressure necrosis -infection
complications of the SC route of administration
properties of hypotonic crystalloids
hypovolemia
shock dose for hypertonic saline
37. 300 mosm/L
traditional shock dose
normal osmolality of body fluid
ICF is small animals
categorizations of crystalloids
38. 60% body weight
hypovolemia
location of the skin elasticity test in cattle
clinical indications for hypotonic crystalloids
TBW in adults
39. Saliva -evaporation at skin -evaporation at the respiratory tract
mucous membrane moistness
insensible losses
sensible fluid losses
osmotic determinants of volume: BV
40. Resuscitation -treating cerebral edema due to head trauma -correction of acute hyponatremia
clinical indication for hypertonic crystalloids
maintenance for a normal adult cat
isotonic crystalloids volume of distribution
clinical indications for hypotonic crystalloids
41. Increased colloid oncotic pressure -shorter duration of effect due to rapid excretion
properties of colloids with small macromolecules
law of electroneutrality
types of shock that are reponsive to fluid therapy
the effects of isotonic fluid loss
42. 8% body weight
interstitial fluid
blood volume in adults
shock does for hetastarch
dehydration
43. 0.9% NaCl -Plasmalyte -LRS
hypertonic crystalloids
plasma volume in adults
total osmolality
potassium
44. Plasma proteins -sodium and associated anions
shock dose for hypertonic saline
osmotic determinants of volume: BV
influence in body condition on the skin elasticity test
normal vascular oncotic pressure
45. Potassium - magnesium - and associated anions.
hypotonic crystalloids volume of distribution
phases of a fluid therapy plan
osmolality
osmotic determinants of volume: ICF
46. Decreased colloid oncotic pressure -longer duration of action due to longer circulation time
properties of hypertonic crystalloids
properties of colloids with large macromolecules
ECF in small animal adults
total osmolality
47. Used in neonates and avian species with limited vascular access.
adverse effects of hypertonic crystalloids
typical uses for IO route of administration
anion gap
disadvantages of the SC route of administration
48. Urinary -fecal
influence in body condition on the skin elasticity test
TBW is obese large animals and extremely large horses
sensible fluid losses
advantages of the IO route of administration
49. 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.
TBW is obese large animals and extremely large horses
categorizations of crystalloids
properties of hypertonic crystalloids
typical uses for IV route of administration
50. 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
normal vascular oncotic pressure
typical uses for IV route of administration
advantages of the SC route of administration
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