Exam 3 Fluid Therapy

Question 1

what are the therapeutic goals of fluid therapy

Answer 1

decreasing dehydration or hypovolemia
increase electrolytes
balance acid-base

Question 2

water accounts for ___ of total body weight

Answer 2

60%

Question 3

blood is ___ of total body weight

Answer 3

7%

Question 4

plasma is ___ of total body weight

Answer 4

5%

Question 5

main goals of lfuid therapy are

Answer 5

improve tissue perfusion by replacing intravascular volume
correct dehydration by replacing interstitial volume
meet maintenance need
replace on-goin glosses

Question 6

replacement volume equation

Answer 6

replacement volume = body kg x % dehydration

Question 7

____ of replacement fluids remian in IV space after 1 hour

Answer 7

25%

Question 8

meet maintenance needs equation

Answer 8

30 x kg + 70

Question 9

___ of maintenance fluid remains in IV space after 1 hour

Answer 9

10%

Question 10

maintenance fluids contents

Answer 10

lower Na
higher K
lower Cl

Question 11

4 or less percent dehydration

Answer 11

history of fluid loss, evidence of thirst, MM still moist

Question 12

5-6

Answer 12

MM slightly dry, hair coat dull, slight delay in return of skin to normal position

Question 13

7-8

Answer 13

definite delay of return of skin to normal position, MM dry, slight prolongation of CRT

Question 14

9-11

Answer 14

tented skin does not eturn to normal; definite prolongation of CRT, eyes definitely sunken in, mm dry, tachycardia, cool extremities,

Question 15

12-15

Answer 15

definite signs of shock

Question 16

hetastarch fluid type

Answer 16

colloid

Question 17

hetastarch TG

Answer 17

decrease dehydration or hypovolemia, expander, maintains vascular volume in animals in ciruculatory shock

Question 18

hetastarch adverse effects

Answer 18

allergic reactions and hyperosmotic renal dysfucntion; not for bleeding patients or those with coagulopathies

Question 19

hypertonic saline contains

Answer 19

Na and Cl

Question 20

hypertonic saline TG

Answer 20

decrease dehydration or hypovolemia and increase electrolytes

Question 21

hypertonic saline adverse events

Answer 21

hyperosmolality

Question 22

lactated ringers fluid type

Answer 22

replacement

Question 23

lactated ringers contains

Answer 23

alkalinizing BES; Na, K, Cl, Ca

Question 24

lactated ringers adverse events

Answer 24

monitor paitnets carefully

Question 25

lactated ringers TG

Answer 25

decrease dehydration or hypovolemia, increase electrolytes and balance acd-base

Question 26

normal saline fluid type

Answer 26

replacemnt

Question 27

normal saline contains

Answer 27

acidifying BES; Na, Cl

Question 28

normal saline TG

Answer 28

decrease dehydration or hypovolemia, increase electrolytes

Question 29

normosol-R fluid type

Answer 29

replacement

Question 30

normosol R contains

Answer 30

alkaliniznig BES; Na, K, Cl, Mg

Question 31

nrom R TG

Answer 31

decrease dehydration or hypovolemia, increase electrolytes

Question 32

plasma lyte A fluid type

Answer 32

replacement

Question 33

plasma lyte A contains

Answer 33

Na, K, Cl, Mg

Question 34

Plasma lyte A TG

Answer 34

decrease dehydration or hypovolemia, increase lytes

Question 35

ringers fluid type

Answer 35

replacement

Question 36

ringers contains

Answer 36

acidifying BES; Na, K, Cl, Ca

Question 37

ringers adverse events

Answer 37

increased renal excretion of bicarb after prolonged use, do not exceed 80 ml/kg/hr; consider supplementing with K

Question 38

plasma lyte M fluid type

Answer 38

maintenance

Question 39

plasma lyte M contains

Answer 39

acidifying Na, K, cl, Ca, Mg

Question 40

normosol M fluid type

Answer 40

maintenance

Question 41

normosol M contains

Answer 41

Acidifying Na, k, cl, mg