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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. Urinary -fecal






2. 30% body weight






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






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






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






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






7. 20% body weight






8. The difference between unmeasured anions and unmeasured cations.






9. 70% body weight






10. Osteomyelitis -often only short-lived access






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






12. 0.9% NaCl -reduction of SID due to an increase in Cl in relation to Na






13. Sodium and associated anions






14. Primarily in the vascular space - depending on vascular permeability -increases vascualar volume by 1 to 1.5x volume given






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






16. 50 m;/kg/day






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






18. The concentration of effective osmoles.






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






20. Lateral neck skin






21. 132 x BW (kg)^0.75






22. Osmolality of solution is approximately equal to that of blood - replacing water as well as electrolytes.






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






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






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






26. 30% body weight






27. Interstitial fluid + blood






28. 6% body weight






29. Potassium - magnesium - and associated anions.






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






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






32. 80 to 90 ml/kg IV bolus






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






34. Pain and irritation -pressure necrosis -infection






35. Used in neonates and avian species with limited vascular access.






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






37. Sustained volume expansion of the vascular space






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






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






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






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






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






43. Potential for transfusion reactions.






44. 10 to 20 ml/kg IV bolus






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






46. The loss of intravascular fluid.






47. 4 ml/kg IV bolus






48. 40% body weight






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






50. 4% body weight







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