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






2. Total body water






3. Generates osmotic pressure by causing a shift of water across a boundary that is not permeable to the osmotically active particle.






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






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






6. Changes in body weight over time.






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






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






9. Potassium - magnesium - and associated anions.






10. 70% body weight






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






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






13. 70% body weight






14. The difference between unmeasured anions and unmeasured cations.






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






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






17. Sodium and associated anions






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






19. 30% body weight






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






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






22. Pain and irritation -pressure necrosis -infection






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






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






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






26. 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)






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






28. Obese animals have increased elasticity -very thin animals have decreased elasticity






29. 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






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






31. 300 mosm/L






32. 20 to 25 mmHG






33. The loss of intravascular fluid.






34. Young animals have increased elasticity -old animals have decreased elasticity






35. 30% body weight






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






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






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






39. Extracellular water + intracellular water






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






41. 40% body weight






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






43. Resuscitation phase: if the animal is in shock -rehydration phase -maintenance phase






44. Potential for transfusion reactions.






45. 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






46. 20% body weight






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






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






49. 6% body weight






50. 0.45% NaCl -D5W -Norm M







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