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Emergency Medicine: Fluid Therapy

Instructions:
  • Answer 50 questions in 15 minutes.
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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. Primarily in the vascular space - depending on vascular permeability -increases vascualar volume by 1 to 1.5x volume given






2. 40 ml/kg/day






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






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






5. Most commonly used to treat coagulopathies.






6. Interstitial fluid + blood






7. Changes in body weight over time.






8. 10 to 20 ml/kg IV bolus






9. The concentration of effective osmoles + the concentration of ineffective osmoles.






10. Osteomyelitis -often only short-lived access






11. 70% body weight






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






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






14. Lateral neck skin






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






16. 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)






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






18. Access to a vascular space when IV is not possible -rapid placement






19. Urinary -fecal






20. 5% body weight






21. 50 m;/kg/day






22. 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






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






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






25. Short duration of volume expansion -transient hypernatremia -reflex bradycardia






26. 1/4 from the intravascular space -3/4 from the interstitium






27. Lower eyelid






28. Potassium - magnesium - and associated anions.






29. Along with magnesium - constitutes the majority of positively charged ions in the ICF.






30. 40% body weight






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






32. Increased PCV and TP (hemoconcentration) -increased BUN (pre-renal azotemia) -sodium concentration will remain the same with isotonic loss






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






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






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






36. 300 mosm/L






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






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






39. 80 to 90 ml/kg IV bolus






40. Sustained volume expansion of the vascular space






41. 4% body weight






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






43. 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






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






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






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






47. 20% body weight






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






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






50. 0.45% NaCl -D5W -Norm M







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