Fluids

Question 1

What are 4 fluids need to know

Answer 1

NaCl 0.9%
Potassium chloride 0.3%
Potassium chloride 0.15%
Glucose 5%

Question 2

Water requirements in 24 hours

Answer 2

25-30ml/kg/24hr

Question 3

Sodium and potassium requirements in 24 hours

Answer 3

1mmol/kg/24hr

Question 4

Glucose requirements in 24 hours

Answer 4

50-100g/24hr

Question 5

What is minimum time 1L KCl 0.3% can be given over

Answer 5

4 hours as 40mml in bag

Question 6

Fluids given for emergency hypoglycaemia with IV access

Answer 6

Glucose 20% 100ml over 15 mins

Question 7

Fluids given for hypokalaemia

Answer 7

Give 1000ml NaCl 0.9%/potassium chloride 0.3% over 4 hours

Question 8

Emergency hypercalcaemia fluids given

Answer 8

0.9% NaCl 1000ml over 4 hours

Question 9

Maintenance fluids

Answer 9

Give 1000 ml over 8-12hrs

Question 10

Maintenance fluids if D&V or low K+ or Na+

Answer 10

Give 1000ml over 4-6 hours

Question 11

Bolus for paediatric resus fluids fluids

Answer 11

10ml/kg

Question 12

Maintenance fluids for children

Answer 12

First 10kg =100ml/kg/24 hours
Next 10kg= 50ml/kg/24 hours
Anything over that 20ml/kg/24 hours

Question 13

If patient has had stroke, what is important consideration when it comes to first bag give

Answer 13

Do not want to make hyperglycaemic as increases severity of stroke therefore avoid glucose bags

Question 14

What are 3 types of medicine prescribing question

Answer 14

Once only medicine- acute setting 1 dose
Regular medicine- VTE etc, continuous
General practise

Question 15

Salbutamol dose given in adults in exacerbation

Answer 15

5mg

Question 16

Ipatropium bromide dose given in acute exacerbation

Answer 16

500mcg

Question 17

Hydrocortisone IV dose given in asthma exacerbation

Answer 17

100mg

Question 18

Mag sulph dose given in acute asthma

Answer 18

1.2-2mg

Question 19

Asthma exacerbation prednisolone dose

Answer 19

40mg

Question 20

COPD exacerbation prednisolone dose

Answer 20

30mg

Question 21

How many mmol of sodium in 1L of NaCl

Answer 21

154

Question 22

How many mmol of chloride in 1L of NaCl

Answer 22

154

Question 23

In a litre bag of 5% glucose how much glucose is there

Answer 23

50

Question 24

How many mmol of K+ in 1L of 0.3% KCl and 0.15% KCl

Answer 24

0.3%= 40 mmol
0.15%= 20 mmol

Question 25

If on variable insulin for operation what give as fluids

Answer 25

sodium chloride 0.45%, potassium chloride 0.3%, dextrose 5%

Question 26

In fluid resus for kids, how long do over

Answer 26

Less than 10 mins