Crystalloids & Colloids - QUIZ Flashcards
Define the following terms:
a) Oncotic Pressure
b) Osmotic Pressure
c) Osmosis
d) Osmolarity
e) Tonicity
a) Oncotic Pressure: Osmotic pressure exerted by the presence of large molecules called Colloids
b) Osmotic Pressure: The hydrostatic pressure necessary to counteract the process of osmosis
c) Osmosis: The spontaneous passage or diffusion of water through a semipermeable membrane
d) Osmolarity: The total number of solute particles per volume of solution
e) Tonicity: Measure of the effective osmotic gradient between 2 fluids separated by semi-perm membrane
Colloids such as albumin are indicated in all of the following, except:
a) 1st line volume replacement in Sepsis
b) Hepatorenal syndrome
c) Hypoalbuminemia
d) Spontaneous bacterial peritonitis
a) 1st line volume replacement in Sepsis
Major side effects of Colloid administration such as Albumin include:
a) Coagulation abnormalities
b) Hepatic failure
c) Anion gap metabolic acidosis
d) Cerebral edema
a) Coagulation abnormalities
Large amounts of normal saline have been shown to:
Select ALL that apply.
a) Cause renal vasoconstriction and AKI
b) Cause non-anion gap metabolic acidosis
c) Cause coagulation abnormalities
d) Cause an allergic reaction
a) Cause renal vasoconstriction and AKI
b) Cause non-anion gap metabolic acidosis
c) Cause coagulation abnormalities
Overall, the contraindications to lactated Ringers are generally uncommon and fairly mild however include:
a) All of the options
b) Elevated Intracrainal pressure
c) Metformin-associated lactic acidosis
d) Severe hypercalcemia
a) All of the options
When administering IV fluid, how can clinicians reliably assess fluid responsiveness?
a) Patient no longer diaphoretic
b) Moist mucous membranes
c) JVP
d) Improvement in cap refill
d) Improvement in cap refill
Consequences of fluid mismanagement include all of the following, except:
a) Acidosis
b) Pulmonary Edema
c) Hyponatremia
d) Hypovolemia
e) Hypophosphatemia
f) Hyperkalemia
e) Hypophosphatemia
