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Pharmacology > Fluids - Kahoot Quiz > Flashcards

Fluids - Kahoot Quiz Flashcards

1
Q

A 1% solution is how many grams within a 100mls ?

A

1g in 100ml

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2
Q

A 10% solution is how many grams within a 100mls ?

A

10 g

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3
Q

What is the definition of percentage ( weight/volume/ W/V) with drug solutions?

  • Weight drug in grams is 1-litre solvent
  • molecular weight drug is 1 litre in solvent
  • Weight of drug in grams in 100mls in solvent.
  • Weight of drugs in grams in 1 decilitre (dL) of solvent.
A
  • Weight of drug in grams in 100mls in solvent.

or also accepted

  • Weight of drugs in grams in 1 decilitre (dL) of solvent.
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4
Q

How many grams of sodium chloride in a 1 litre bag of 0.9% saline ?

A

9 grams

0.9 within 100mls x 10 = 9

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5
Q

How many grams of glucose are in a 1 litre bag of 5% glucose ?

A

50 grams

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6
Q

What is the average daily adult intake of water ?

0.5L
1.5L
2.5L
5L

A

2.5L

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7
Q

What percentage of the daily intake of soidum is excreted in the urine ?

60%
75%
95%
100%

A

95%

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8
Q

What concentration of glucose is iso-osmotic with 0.9% saline?

2.5%
10%
5%
20%

A

5%

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9
Q

Which is the major cation (positive ion) in the extracellular space ?

  • Sodium
  • Pottasium
  • Bicarbonate
  • Chloride
A
  • Sodium
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10
Q

What is the normal range for the concentration of chloride in plasma (units in mmol/L)?

3.5 to 4.5
135 to 145
3 to 7.5
95-105

A

95/105

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11
Q

What percentage of an administered volume of NaCl 0.9% is retained within the vascular space ?

5%
50%
20%
80%

A

20%

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12
Q

What is the major use of intravenous glucose 5% ?

  • To treat hypoglycaemia
  • To provide cellular energy
  • To expand the blood volume
  • To deliver water intravenously.
A

To deliver water intravenously

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13
Q

What is the concentration in a 250ml bag of 0.9% saline containing 20mmol of potassium chloride?

10mmol/L
20mmol/L
80mmol/L
40mmol/L

A

80mmol/l

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14
Q

The intravenous infusion of potassium delivered by a peripheral line should not normally exceed what ?

5mmol/h
10mmol/h
20mmol/h
30mmol/h

A

10mmol/h

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15
Q

Which is the following is NOTTT a symptom used to detect hypovalemia ?

  • Systolic bP greater than 140 mmHg
  • Elevated plasma urea above the normal range
  • RR greater than 20 breaths per min
  • Heart rate greater than 90BPM
A
  • Systolic bP greater than 140 mmHg
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16
Q

What percentage of an administered volume of colloid remains in the vascular space ?

-5%
-50%
-20%
-80%

A
  • 80%
17
Q

An Obese 43-year-old woman is admitted for an elective cholecystectomy following a previous episode of cholecystitis. She is first on the theatre list in the morning. It is midnight, and the nurses call you to prescribe fluids because she is NBM from 00:00. Her biochemistry, has not had not been done and her previous results are not available to you.

What do you think you should Prescribe?

  • NACL 0.9% 1L with 20mmol KCL over 12 H.
  • NACL 0.9% 1L with 20mmol KCL over 8 H.
  • Glucose 5% 1L with 20 mmol KCL over 24H.
  • Glucose 5% 1L with 40mmol KCL over 12 H.
A
  • NACL 0.9% 1L with 20mmol KCL over 8 H.
18
Q

An 80-year-old man is admitted for a hemicolectomy for bowel cancer. You see him this evening before and have been told he is due in surgery at 8am so should be nil by mouth from midnight. His medical history includes T2DM (DIET CONTROLLED). His routine blood tests just back are Na 146mmol/L, UR 5mmol/L, Cr 76, mmol/l.

What should you prescribe

  • Glucose 10% 1L over 4 hours.
  • Glucose 5% 1L with 20mmol KCL over 12h
  • Sodium Chloride 0.9% 1L with 20mmol KCL over 8 hours.
  • Gelofusin 1L over 12 H.
A
  • Glucose 5% 1L with 20mmol KCL over 12h.
19
Q

A 73 year - old patient is admitted to the hospital with diarrhoea and vomiting after a recent course of ciprofloxacin for a urinary tract infection. He is tachycardic (118 bpm), normotensive and has reduced skin turgor. His blood results are Na 152, K 3.5, Ur 15mmol, Cr 119. You suspect he has C.diffe gastroenteritis following antibiotics and are awaiting stool cultures.

  • Encourage oral Fluids
  • Sodium chloride 0.9% 1L with 20mmol KCL over 12 hours.
  • Glucose 5% with 20mmol KCL over 12 hours.
  • Glucose 5% 1L with 20mmol KCL over 4 hours.
A
  • Glucose 5% 1L with 20mmol KCL over 4 hours.
20
Q

A 52 year old obese female is admitted with severe epigastric tenderness with a history of gall stones. On examination her abdomen is soft with local rebound tenderness. Bowel sounds are present but scanty. Clinically is dehydrates with dry mucous membranes. Having been catherterised her urine output is 20ml per hour. Normal saline was given in A&E when she was found ot be hypotensive (83/62 diastolic).

NA 135, K4.5, UR 15, CR100; amylase 2000U/L.

her BP is noq 78/70 with a HR of 120bpm.

What fluid regime would you prescribe ?

  • Glucose 5% 1L over 4h
  • Saline 0.9% 1L over 4 h
  • Saline 0.9% 500ml over 15 mins
  • Gelofusine 500ml over 30 minutes.
A
  • Saline 0.9 500ml over 15 minutes.

Can try this 2/3 times if this doesnt work you will need to try other thinsg.

21
Q
A

Pharmacology (19 decks)

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