Ch.15 Fluid therapy Flashcards

1
Q

Water is - of total body weight of an animal

A

50-70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Water is _% of total body weight in a neonate

A

80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

An increase in _ _ decreases total body water

A

body fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Body water is distributed among 3 types of compartments:

A

intracellular, intravascular, and interstitial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

_% is intracellular fluid (ICF)

A

60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

_% is extracellular fluid (ECF)

A

40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Intravascular fluid volume estimates

A

90ml/kg dog
45ml/kg cat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Body fluid compartments should be thought of as fluid + electrolytes in a _ _

A

dynamic equilibrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Most fluid loss in the animal is from the _ first

A

ECF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

_ are substances that split into ions when placed in water

A

Electrolytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In a healthy animal the number of cations always _ the number of anions

A

equals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Primary ions in the body

A

sodium, potassium, chloride, phosphate, and bicarbonate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Therapeutic fluids are said to be balanced when they resemble ECF in _ and unbalanced when they do not

A

concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Balanced fluids

A

lactated ringers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Unbalanced fluids

A

sodium chloride (NaCl)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Solutes that cannot cross cell membrane will attract water to them which is called _

A

osmosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Ability to attract water

A

osmotic pressure aka tonicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Dog/cat serum osmolality:

A

300mOsm/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

An isotonic solution has _ _ osmotic pressure as blood and extracellular water

20
Q

A hypotonic solution has osmolality _ than that of blood; RBCs can swell

21
Q

A hypertonic solution has osmolality _ than that of blood: RBCs can shrink

22
Q

fluid overload is a condition in which the administration of fluid occurs at

A

a greater rate than the rate at which the body can use or eliminate the fluid

23
Q

Signs of fluid overload

A

nasal discharge, respiratory changes, fluid deposition in SQ space, weight gain

24
Q

Crystalloids can be

A

isotonic
hypertonic
hypotonic

25
Colloids can be
starch based natural
26
Examples of isotonic fluids
0.9% sodium chloride LRS Normosol Plasmalyte
27
Clinical uses of isotonic
shock, v/d, pancreatitis, dehydration
28
Hypotonic fluid examples
5% dextrose in water (D5W) 1/4 NS (.25% normal saline) 1/2 NS (0.45% normal saline)
29
Clinical used for hypotonic fluids
hypernatremia
30
Examples of hypertonic fluids
.9% normal saline w/ 5% dextrose 3%,4%,5%,7%,7.5%,and 23.4% NaCl 10% dextrose in water
31
Clinical uses of hypertonic fluids
shocks esp. due to acute blood loss, intracranial edema
32
Natural colloids
plasma, albumin, whole blood
33
Synthetic colloids
-Dextrans (expands plasma vol. 4-8hr) -Hydroxyethyl starch (Hetastarch) (expands plasma volume 12-36hr -Oxyglobin (increases O2 carrying capacity for 40 hrs)
34
Clinical uses for colloids
Bleeding disorders Hypovolemia Septic shock Hypoalbuminemia P prone to edema
35
What is important to remember when administering additives
withdraw and discard an amount of fluid equal to amount of additive being supplemented
36
Types of additives
50% dextrose Potassium chloride Sodium bicarbonate Calcium Vitamins
37
What drug is used to tx metabolic acidosis
Sodium bicarbonate
38
Calcium supplements used to tx hypocalcemia
calcium glutinate or calcium chloride
39
How must calcium supplements be administered
slowly
40
What additive is used to tx insulinoma, hypoglycemia, sepsis, insulin overdosage
50% dextrose
41
Animals require fluids for what
rehydration, maintenance, ongoing fluid loss
42
Maintenance fluid formula for adults
kg x 50ml/kg/day = ml/day
43
maintenance formula for young animals
kg x 100ml/kg/day = ml/day
44
Replacement fluid formula
%dehydration x kg x 1000ml/l
45
Ongoing fluid loss is an estimation based on
additional fluid loss due to v/d
46
Rate of fluid replacement _ the severity of dehydration
parallels