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Test your basic knowledge |
Emergency Medicine: Fluid Therapy
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Subjects
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health-sciences
,
emergency-medicine
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
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. Occur at the loss of 30% of blood volume -occur when dehydration reached 10% of body weight
signs of hypovolemia
goal of maintenance fluids
properties of colloids with small macromolecules
ICF in large animals
2. Saliva -evaporation at skin -evaporation at the respiratory tract
insensible losses
complications of catheterization
most important colloid in the blood
breakdown of the loss from the ECF compartment
3. 10 to 20 ml/kg IV bolus
clinical indications for isotonic crystalloids
types of the fluids used for maintenance
shock does for hetastarch
TBW in adults
4. Hypovolemic is the most reponsive -distributive shock -obstructive shock - above the obstruction
osmotic determinants of volume: ECF
phases of a fluid therapy plan
types of shock that are reponsive to fluid therapy
most sensitive test for estimating fluid loss
5. 30% body weight
signs of hypovolemia
ICF in large animals
ECF in small animal adults
maintenance for a normal adult cat
6. 70 x BW (kg)^0.75
adverse effects of isotonic crystalloids
maintenance for a normal adult cat
disadvantages of the IO route of administration
anion gap
7. Osmolality of ECF decreases - causing fluid to shift from the ECF to the ICF -ICF volume increases -ECF volume decreases - TBW decreases
contraindications for hypotonic crystalloids
the effects of electrolyte loss without water loss (dialysis)
hydroxyethyl starch volume of distribution
influence of age on the skin elasticity test
8. 300 mosm/L
dehydration
categorizations of crystalloids
influence of age on the skin elasticity test
normal osmolality of body fluid
9. All body fluids are iso-osmolar is relation to other body flids despite a different ionic composition.
ECF in large animal adults
location of the skin elasticity test in cattle
extracellular fluid (ECF)
iso-omolality of the body
10. Osmolality of the solution is less that blood - causing a net increase in free water.
osmolality
potassium
properties of hypotonic crystalloids
typical uses for IV route of administration
11. Young animals have increased elasticity -old animals have decreased elasticity
osmotic determinants of volume: BV
properties of hypertonic crystalloids
influence of age on the skin elasticity test
most important colloid in the blood
12. The loss of intravascular fluid.
traditional shock dose
canine plasma
potassium
hypovolemia
13. Along with magnesium - constitutes the majority of positively charged ions in the ICF.
normal vascular oncotic pressure
TBW in large animals less that 30 days of age
skin elasticity test
potassium
14. Practical - with limited equipment required -can be administered on an outpatient basis
maintenance water requirement
goals of fluid resuscitation
advantages of the SC route of administration
hypotonic crystalloids volume of distribution
15. The amount of saliva and tear film varies inversely with - hydration status -this is a qualitative test
osmotic determinants of volume: BV
iso-omolality of the body
hypotonic crystalloids volume of distribution
mucous membrane moistness
16. Pain and irritation -pressure necrosis -infection
adverse effects of hypertonic crystalloids
complications of the SC route of administration
osmotic determinants of volume: BV
blood volume in adults
17. 5% body weight
types of shock that are reponsive to fluid therapy
plasma volume in cats
canine plasma
plasma volume in adults
18. 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
isotonic crystalloids volume of distribution
osmotic determinants of volume: ECF
most sensitive test for estimating fluid loss
types of the fluids used for maintenance
19. Osmolality of ECF does not change - initiating no fluid shift - between the ECF and ICF -ECF decreases - TBW decreases - and ICF is static
shock does for hetastarch
sodium
the effects of isotonic fluid loss
maintenance for a normal adult horse
20. A particle that does not generate osmotic pressure because it is freely permeable across a membrane.
insensible losses
osmotic determinants of volume: ICF
TBW in large animals less that 30 days of age
ineffective osmole
21. 30% body weight
clinical indications for hydroxyethyl starch
ECF in large animal adults
ICF in large animals
shock dose for hypertonic saline
22. Potential for transfusion reactions.
shock does for hetastarch
maintenance for a normal adult horse
adverse effects of canine plasma
most sensitive test for estimating fluid loss
23. 6% body weight
ECF in small animal adults
blood volume in cats
types of shock that are reponsive to fluid therapy
normal vascular oncotic pressure
24. 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.
typical uses for IO route of administration
properties of hypertonic crystalloids
TBW in adults
ECF in large animals less than 30 days of age
25. 50 m;/kg/day
goal of maintenance fluids
advantages of the IO route of administration
maintenance for a normal adult cow
total body water (TBW)
26. Total body water
tonicity
mucous membrane moistness
general properties of crystalloids
hypotonic crystalloids volume of distribution
27. 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
goal of maintenance fluids
complications of catheterization
the effects of the loss of hypotonic fluid (water deprivation)
ECF in small animal adults
28. Urinary -fecal
phases of a fluid therapy plan
sodium
sensible fluid losses
hypovolemia
29. Decreased colloid oncotic pressure -longer duration of action due to longer circulation time
ineffective osmole
properties of colloids with large macromolecules
adverse effects of isotonic crystalloids
location of the skin elasticity test in horses
30. Plasma proteins -sodium and associated anions
signs of hypovolemia
hypotonic crystalloids volume of distribution
ECF in small animal adults
osmotic determinants of volume: BV
31. A sunken eyes is associated with reduced volume in the ] - retrobulbar fat -qualitative
the effects of the loss of hypotonic fluid (water deprivation)
ICF is small animals
clinical indications for isotonic crystalloids
assessment in the position of the eye in orbit
32. Typically an isotonic crystalloid with potassium added - -hypotonic crystalloids for animals with compromised renal - function of in heart failure -
isotonic crystalloids volume of distribution
ECF in large animals less than 30 days of age
total body water (TBW)
types of the fluids used for maintenance
33. Potassium - magnesium - and associated anions.
osmotic determinants of volume: ICF
sensible fluid losses
maintenance for a normal adult dog
properties of hypertonic crystalloids
34. The most abundant positively charged ion in the ECF.
complications of the SC route of administration
contraindications for hypotonic crystalloids
sodium
skin elasticity test
35. Osmolality of solution is approximately equal to that of blood - replacing water as well as electrolytes.
clinical indications for hydroxyethyl starch
properties of isotonic crystalloids
iso-omolality of the body
dehydration
36. Interstitial fluid + blood
traditional shock dose
hydroxyethyl starch
extracellular fluid (ECF)
contraindications for hypotonic crystalloids
37. Lateral neck skin
clinical indications for isotonic crystalloids
location of the skin elasticity test in horses
osmotic determinants of volume: ECF
ICF is small animals
38. 40% body weight
primary effect of colloids
ICF is small animals
osmolality
osmotic determinants of volume: BV
39. Maintain the animal in zero fluid balance - with input equaling output.
tonicity
anion gap
goal of maintenance fluids
maintenance for a normal adult dog
40. Obese animals have increased elasticity -very thin animals have decreased elasticity
insensible losses
advantages of the IV route of administration
TBW in large animals less that 30 days of age
influence in body condition on the skin elasticity test
41. A decrease in in capillary oncotic pressure due to protein loss resulting in filtration of fluid into the interstitial fluid.
indications for canine plasma
mucous membrane moistness
edema
osmolality
42. 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
mucous membrane moistness
vascular expansion of hypertonic crystalloids
skin elasticity test
clinical indications for hydroxyethyl starch
43. 4% body weight
plasma volume in cats
location of the skin elasticity test in cattle
canine plasma
hypotonic crystalloids volume of distribution
44. Most commonly used to treat coagulopathies.
extracellular fluid (ECF)
effective osmoles
indications for canine plasma
normal vascular oncotic pressure
45. Osteomyelitis -often only short-lived access
acidifying crystalloids
disadvantages of the IO route of administration
most sensitive test for estimating fluid loss
edema
46. Lower eyelid
location of the skin elasticity test in cattle
osmolality
hydroxyethyl starch volume of distribution
disadvantages of the SC route of administration
47. 60% body weight
types of shock that are reponsive to fluid therapy
indications for canine plasma
TBW in adults
phases of a fluid therapy plan
48. The concentration of effective osmoles.
shock dose for hypertonic saline
tonicity
blood volume in cats
hypotonic crystalloids volume of distribution
49. Mucous membrane moistness -skin elasticity -position of the eye in orbit -changes in body weight -volume status (signs of hypovolemia) -thirst mechanism
shock does for hetastarch
categorizations of crystalloids
hydration parameters for physical examone
effective osmoles
50. 70% body weight
TBW in large animals less that 30 days of age
clinical indications for hypotonic crystalloids
maintenance for a normal adult horse
complications of the SC route of administration