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Emergency Medicine: Fluid Therapy

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  • 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. 8% body weight






2. 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






3. Pain and irritation -pressure necrosis -infection






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






5. Albumin






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






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






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






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






10. Resuscitation -treating cerebral edema due to head trauma -correction of acute hyponatremia






11. Lower eyelid






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






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






14. 70 x BW (kg)^0.75






15. 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






16. 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






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






18. 20% body weight






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






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






21. 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






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






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






24. 0.9% NaCl -Plasmalyte -LRS






25. Plasma proteins -sodium and associated anions






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






27. The most abundant positively charged ion in the ECF.






28. The difference between unmeasured anions and unmeasured cations.






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






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






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)






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






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






34. Urinary -fecal






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






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






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






38. Osmolality of ECF does not change - initiating no fluid shift - between the ECF and ICF -ECF decreases - TBW decreases - and ICF is static






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






40. Potassium - magnesium - and associated anions.






41. 40% body weight






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






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






44. Sodium and associated anions






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






46. Direct vascular access and expansion -rapid administration possible -multiple type of fluids can be used






47. Osteomyelitis -often only short-lived access






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






49. 30% body weight






50. 300 mosm/L







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