Emergency Fluids

Question 1

Truly dissolve, molecules or atoms separate and disperse completely and equally throughout the solvent. Dissolved molecules will cross the membrane through osmosis to equalize unequal concentrations

Answer 1

Crystalloid Solution

Question 2

Expand the contents of the intravascular compartment without shifting to or from other compartments

Answer 2

Isotonic Solutions

Question 3

Explain 3-1 Rule

Answer 3

3 mL of isotonic crystalloid solution is needed to replace 1 mL of patients blood

Question 4

Mechanism of Action for Normal Saline (0.9% NaCl)

Answer 4

Replaces fluid and electrolytes with isotonic solution

Question 5

Indications for Normal Saline (0.9% NaCl)

Answer 5

• Heat related problems
• Shock
• Hypovolemia
• Hypervolemia
• Sepsis

Question 6

Contraindications for Normal Saline (0.9% NaCl)

Answer 6

None

Question 7

Adverse Reactions of Normal Saline (0.9% NaCl)

Answer 7

Rare therapeutic dosages

Question 8

Considerations for Normal Saline (0.9% NaCl)

Answer 8

Care should be used in patients with CHF, renal compromise, hypertension

Question 9

Mechanism of Action for Lactated Ringers

Answer 9

Replaces water and electrolytes (Na+, K+, Ca2+, Cl-) with isotonic solution

Question 10

Indications for Lactated Ringers

Answer 10

Hypovolemic shock; Acute blood loss, burns

Question 11

Contraindications for Lactated Ringers

Answer 11

Liver Failure patients (cannot metabolize lactate)

Question 12

Adverse Reactions of Lactated Ringers

Answer 12

Rare therapeutic dosages