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Test your basic knowledge |
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. Urinary -fecal
normal vascular oncotic pressure
sensible fluid losses
osmolality
shock does for hetastarch
2. 30% body weight
ICF in large animals
Vetstarch
typical uses for IV route of administration
dextrose 5% in water (D5W)
3. 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
assessment in the position of the eye in orbit
clinical indications for isotonic crystalloids
plasma volume in adults
isotonic crystalloids volume of distribution
4. Expand the intravascular space by 4 to 6 times for a short duration.
ECF in large animals less than 30 days of age
breakdown of the loss from the ECF compartment
phases of a fluid therapy plan
vascular expansion of hypertonic crystalloids
5. Unreliable rate of absorption -cannot be used for resuscitation or replacement of fluids in critically ill patients -hypo- or hypertonic solutions cannot be used due to tissue damage and injury
disadvantages of the SC route of administration
effective osmoles
types of the fluids used for maintenance
clinical indication for hypertonic crystalloids
6. Resuscitation - to attain sustained vascular expansion - oncotic support during hypoproteinemia
blood volume in adults
clinical indications for hypotonic crystalloids
signs of hypovolemia
clinical indications for hydroxyethyl starch
7. 20% body weight
skin elasticity test
properties of isotonic crystalloids
influence in body condition on the skin elasticity test
ECF in small animal adults
8. The difference between unmeasured anions and unmeasured cations.
shock does for hetastarch
anion gap
bloodwork changes and dehydration
Vetstarch
9. 70% body weight
extracellular fluid (ECF)
signs of hypovolemia
TBW is obese large animals and extremely large horses
adverse effects of isotonic crystalloids
10. Osteomyelitis -often only short-lived access
Vetstarch
disadvantages of the IO route of administration
breakdown of the loss from the ECF compartment
the effects of the loss of hypotonic fluid (water deprivation)
11. Saliva -evaporation at skin -evaporation at the respiratory tract
clinical indications for hypotonic crystalloids
contraindications for hypotonic crystalloids
goal of maintenance fluids
insensible losses
12. 0.9% NaCl -reduction of SID due to an increase in Cl in relation to Na
skin elasticity test
adverse affects of hydroxyethyl starch
acidifying crystalloids
properties of colloids with small macromolecules
13. Sodium and associated anions
properties of isotonic crystalloids
assessment in the position of the eye in orbit
osmotic determinants of volume: ECF
maintenance water requirement
14. Primarily in the vascular space - depending on vascular permeability -increases vascualar volume by 1 to 1.5x volume given
dextrose 5% in water (D5W)
goal of maintenance fluids
clinical indications for hypotonic crystalloids
hydroxyethyl starch volume of distribution
15. Osmolality of the solution is less that blood - causing a net increase in free water.
maintenance for a normal adult cat
ECF in large animals less than 30 days of age
properties of colloids with large macromolecules
properties of hypotonic crystalloids
16. 50 m;/kg/day
maintenance for a normal adult cow
hypertonic crystalloids
disadvantages of the IO route of administration
complications of catheterization
17. The concentration of effective osmoles + the concentration of ineffective osmoles.
ECF in small animal adults
categorizations of crystalloids
total osmolality
location of the skin elasticity test in cattle
18. The concentration of effective osmoles.
maintenance for a normal adult cow
properties of colloids with large macromolecules
tonicity
disadvantages of the IO route of administration
19. The loss of isotonic fluids from the ECF - primarily from the interstitium
adverse effects of canine plasma
skin elasticity test
dehydration
ICF is small animals
20. Lateral neck skin
location of the skin elasticity test in horses
advantages of the IV route of administration
adverse effects of hypertonic crystalloids
hypertonic crystalloids
21. 132 x BW (kg)^0.75
hypotonic crystalloids
maintenance for a normal adult dog
indications for canine plasma
blood volume in cats
22. Osmolality of solution is approximately equal to that of blood - replacing water as well as electrolytes.
total osmolality
properties of isotonic crystalloids
primary effect of colloids
osmolality
23. Increased colloid oncotic pressure -shorter duration of effect due to rapid excretion
goal of maintenance fluids
complications of catheterization
properties of colloids with small macromolecules
TBW in large animals less that 30 days of age
24. Along with magnesium - constitutes the majority of positively charged ions in the ICF.
shock dose for hypertonic saline
potassium
shock does for hetastarch
normal osmolality of body fluid
25. Increased PCV and TP (hemoconcentration) -increased BUN (pre-renal azotemia) -sodium concentration will remain the same with isotonic loss
bloodwork changes and dehydration
location of the skin elasticity test in cattle
hypovolemia
adverse effects of isotonic crystalloids
26. 30% body weight
properties of hypotonic crystalloids
total osmolality
ECF in large animal adults
extracellular fluid (ECF)
27. Interstitial fluid + blood
hypertonic crystalloids
extracellular fluid (ECF)
bloodwork changes and dehydration
traditional shock dose
28. 6% body weight
dextrose 5% in water (D5W)
blood volume in cats
most sensitive test for estimating fluid loss
maintenance for a normal adult cat
29. Potassium - magnesium - and associated anions.
properties of hypertonic crystalloids
properties of colloids with large macromolecules
normal osmolality of body fluid
osmotic determinants of volume: ICF
30. Osmolality of ECF does not change - initiating no fluid shift - between the ECF and ICF -ECF decreases - TBW decreases - and ICF is static
the effects of isotonic fluid loss
adverse effects of canine plasma
maintenance for a normal adult cow
hydroxyethyl starch volume of distribution
31. Direct vascular access and expansion -rapid administration possible -multiple type of fluids can be used
clinical indications for isotonic crystalloids
advantages of the IV route of administration
normal osmolality of body fluid
advantages of the IO route of administration
32. 80 to 90 ml/kg IV bolus
osmotic determinants of volume: BV
typical uses for IO route of administration
traditional shock dose
plasma volume in adults
33. Resuscitation -anesthetic patients -to treat significant dehydration and ongoing losses -critiacally ill patients
typical uses for IV route of administration
primary effect of colloids
contraindications for hypotonic crystalloids
shock does for hetastarch
34. Pain and irritation -pressure necrosis -infection
influence of age on the skin elasticity test
effective osmoles
traditional shock dose
complications of the SC route of administration
35. Used in neonates and avian species with limited vascular access.
plasma volume in adults
hydroxyethyl starch
typical uses for IO route of administration
most important colloid in the blood
36. Short duration of volume expansion -transient hypernatremia -reflex bradycardia
ECF in large animals less than 30 days of age
adverse effects of hypertonic crystalloids
goal of maintenance fluids
ECF in small animal adults
37. Sustained volume expansion of the vascular space
law of electroneutrality
primary effect of colloids
influence of age on the skin elasticity test
osmolality
38. 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
maintenance for a normal adult dog
skin elasticity test
clinical indications for hypotonic crystalloids
bloodwork changes and dehydration
39. Hypovolemic is the most reponsive -distributive shock -obstructive shock - above the obstruction
influence of age on the skin elasticity test
disadvantages of the IO route of administration
properties of colloids with small macromolecules
types of shock that are reponsive to fluid therapy
40. Never use for resuscitation -never bolus; cannot administer rapidly
contraindications for hypotonic crystalloids
complications of the SC route of administration
hypovolemia
complications of catheterization
41. Young animals have increased elasticity -old animals have decreased elasticity
influence of age on the skin elasticity test
location of the skin elasticity test in cattle
osmotic determinants of volume: ICF
types of shock that are reponsive to fluid therapy
42. A new formulation of hydroxyethyl starch that has decreased coagulopathy effects - safe up to 50 to 100 ml/kg/d
disadvantages of the IO route of administration
typical uses for IO route of administration
adverse affects of hydroxyethyl starch
Vetstarch
43. Potential for transfusion reactions.
hydroxyethyl starch volume of distribution
tonicity
canine plasma
adverse effects of canine plasma
44. 10 to 20 ml/kg IV bolus
shock does for hetastarch
acidifying crystalloids
the effects of isotonic fluid loss
assessment in the position of the eye in orbit
45. All body fluids are iso-osmolar is relation to other body flids despite a different ionic composition.
advantages of the IO route of administration
iso-omolality of the body
the effects of the loss of hypotonic fluid (water deprivation)
edema
46. The loss of intravascular fluid.
ECF in small animal adults
clinical indication for hypertonic crystalloids
adverse effects of canine plasma
hypovolemia
47. 4 ml/kg IV bolus
TBW in adults
law of electroneutrality
normal osmolality of body fluid
shock dose for hypertonic saline
48. 40% body weight
clinical indications for hypotonic crystalloids
dehydration
ICF is small animals
complications of catheterization
49. Categorized based on tonicity compared to normal plasma -categorized based on electrolyte composition -categorized based on acid-base effects
maintenance for a normal adult horse
insensible losses
ICF in large animals
categorizations of crystalloids
50. 4% body weight
total body water (TBW)
plasma volume in cats
hypotonic crystalloids
hypertonic crystalloids
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