Fluids Test Flashcards

1
Q

3 compartments of body water division:

A

cells
interstitial
intravascular

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2
Q

Body is made up of what percent water?

A

60%

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3
Q

Primary Electrolytes

A
Sodium
potassium
chloride
phosphate
bicarbonate
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4
Q

Which are cations?

A

sodium

potassium

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5
Q

Which are anions?

A

chloride
phosphate
bicarbonate

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6
Q

Which are intracellular?

A

potassium

phosphate

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7
Q

Which are extracellular?

A

sodium
chloride
bicarbonate

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8
Q

Which imblance is most common in surgery?

A

Respiratory acidosis

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9
Q

Which imbalance is most common in practice?

A

Metabolic acidosis

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10
Q

4 types of imbalances

A

Metabolic acidosis/ bicarb deficit
Metabolic alkalosis/ bicarb excess
Respiratory acidosis/ carbonic acid excess
Respiratory alkalosis/ carbonic acid deficit

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11
Q

Causes and clinical signs of metabolic acidosis

A

Causes: D+, renal dz, diabetes, overuse of acidic drugs, severe burns, & open wounds

Clinical signs: increased CO2, CNS depression

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12
Q

Causes and clinical signs of metabolic alkalosis

A

Causes: severe V+

Clinical signs: over- excited CNS, tetany, twitching, convulsions

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13
Q

Causes and clinical signs of respiratory acidosis

A

Causes: Barbiturates, prolonged anesthesia, trauma, any respiratory compensation increasing CO2 retention

Clinical signs: Rapid shallow breathing from inhibited lung function, CNS depression, confusion, ataxia, coma

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14
Q

Causes and clinical signs of respiratory alkalosis

A

Causes: Hyperventilation, heatstroke, F+, O2 and CO2 deficits, excitement, and drug induced stimluation

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15
Q

Routes of fluid administration

A
IV
IO
SQ
IP
PO
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16
Q

How long can a juglar, through the needle catheter stay in?

A

10-12 days

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17
Q

How long can an over the needle/ cephalic catheter stay in?

A

72 hours, 2-3 days

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18
Q

How long can a butterfly catheter stay in for?

A

2 hours

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19
Q

Calculation for rehydration/ deficit?

A

Wt (kg) X % dehydration X 1000ml

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20
Q

Calculation for maintenance?

A

Adults: 50ml/kg/day

Pediatric: 110ml/kg/day

IF FEVERED ADD 10%

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21
Q

Calculation for specific losses?

A

V+: 1ml/lb per episode
D+: estimate by sight
PU: 1lb of urine = 500ml

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22
Q

Sizes of adult administration sets?

A

10, 15 & 20

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23
Q

Is physiologic saline a crystalloid or colloid? and is it isotonic, hypertonic or hypotonic?

A

Crystalloid, & istonic

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24
Q

Another name for physiologic saline

A

0.9% NaCl

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25
Is LRS a crystalloid or colloid? and is it isotonic, hypertonic, or hypotonic?
Crystalloid, & isotonic
26
Is ringers solution a crystalloid or colloid? and is it isotonic, hypertonic, or hypotonic?
Crystalloid & isotonic
27
Is Normosol R a crystalloid or colloid? and is it isotonic, hypertonic or hypetonic?
Crystalloid & istonic
28
Is Multisol R a crystalloid or colloid? and is it isotonic, hypertonic, and hypotonic?
Crystalloid & isotonic
29
Is plasmalyte a crystalloid or colloid? and is it isotonic, hypertonic, or hypotonic?
Crystalloid and isotonic
30
Are NaCl's 3%, 4%, 5%, 7%, & 23.4% crystalloids or colloids? and are they isotonic, hypertonic or hypotonic?
Crystalloids & hypertonic
31
Is 5% dextrose in water a crystalloid or colloid? and is it isotonic, hypertonic, or hypotonic?
Crystalloid & hypotonic
32
Is 2.5% dextrose/ 0.45% saline a crystalloid or colloid? and are they isotonic, hypertonic or hypotonic?
Crystalloid & hypotonic
33
Is dextrans 40/ dextrans 70 a crystalloid or colloid? and are they natural or synthetic?
Colloid & synthetic
34
Is hetastarch (hespan) a crystalloid or colloid? and is it natural or synthetic?
Colloid & synthetic
35
Is pentastarch a crystalloid or colloid? and is it natural or synthetic?
Colloid & synthetic
36
Is oxypolygelatin (vetaplasma, oxyglobin, rapidvet plasma) a crystalloid or colloid? and is it natural or synthetic?
Colloid & synthetic
37
Is plasma a crystalloid or colloid? and is it natural or synthetic?
Colloid & natural
38
Is albumin a crystalloid or colloid? and is it natural or synthetic?
Colloid & natural
39
Is whole blood (FWB) a crystalloid or colloid? and is it natural or synthetic?
Colloid & natural
40
Diffusion:
Movement of solutes from an area of high concentration to an area of low concentration
41
Osmosis:
Movement of H2O through a selective permeable membrane. Always from an area of low concentration to an area of high concentration
42
What 3 systems all work together?
Pulmonary, blood buffers and renal systems
43
Blood buffers work together to?
Maintain ratio of carbonic acid & bicarb
44
Which systems act first?
Respiratory & circulatory systems
45
How long do you scrub patient for?
3 minutes
46
What is the only type of fluid that can go SQ?
Isotonic
47
Fluids should be at what temperature?
Must be AT LEAST room temperature but ideally the body temp of patient
48
What route has the slowest uptake?
SQ 6-8 hours
49
What catheters are used for IV fluids?
Over the needle catheters
50
What route is has the second fastest uptake?
IO, last resort
51
What fluids must be given IV?
Hypertonic & hypotonic
52
What are isotonic fluids used for?
To replace body fluids
53
What are hypertonic fluids used for?
To draw water from tissue
54
What are hypotonic fluids used for?
To rehydrate tissue
55
What fluid is most commonly used for surgery?
Lactated ringers solution
56
What is LRS contraindicated with?
Blood transfusions
57
What is physiologic saline contraindicated with?
Cardiac dz
58
What is ringers solution contraindicated with?
Acidotic patients
59
Which fluids are calcium free?
Multisol- R & Normosol R
60
Hypertonic solutions are contraindicated with?
Renal/ cardiac failure
61
Hypotonic solutions are contraindicated with?
Pulmonary/ cerebral edema
62
What are colloids used for?
Hypotension, hypovolemic shock, & vascualr expansion
63
What color sticker must you put on a bag of fluids if something has been added?
Neon orange
64
What are the 5 fluid additives?
``` 50% dextrose Potassium chloride Sodium bicarbonate Calcium Vitamins ```
65
What is 50% dextrose commonly used for?
Patients prone to hypoglycemia
66
What does sodium bicarb correct?
Acidosis
67
What forms can calcium be given?
Calcium gluconate & calcium chloride
68
What fluids are given for shock?
LRS or Multisol R/ Normosol R
69
What fluids are given for acute renal failure?
0.9% saline (normal saline)
70
What fluids are given for chronic renal failure?
Normosol R, LRS, or 0.9% NaCl
71
What fluids are given for urolithiasis?
Multisol R & Normosol R
72
What fluids are given for acidosis?
LRS
73
If patiend is severely dehydrated, how much fluids do we give?
80%
74
How do we get a TFN for 24 hours?
Add up deficit, maintenance, and specific losses
75
Fluid infusion rate for routine surgery?
5-10 mls/kg/hr