IV fluids and hypertension Flashcards

1
Q

what category do lactated ringers fit in to

A

isotonic;
may cause hyperkalemia
not good for kids because of high lactate and electrolytes

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2
Q

what category does NS (0.9%) fit in to

A

isotonic; resuscitation fluid #1 choice
may cause hypokalemia

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3
Q

what category does 5% albumin fit in to

A

isotonic; colloid
- become hypertonic in body

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4
Q

what category does dextran 40 fit in to

A

isotonic; colloid
become hypertonic in body

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5
Q

what category does D5NS fit in to

A

hypertonic
- treats hyponatremia

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6
Q

what category does D5LR fit in to

A

hypertonic

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7
Q

what category does D10W fit in to

A

hypertonic

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8
Q

what category does D5 0.45% NaCl (D5 1/2 NS) fit in to

A

hypertonic in bag
- hypotonic or isotonic in body
- may cause hyponatremia
- 1st choice for pediatric maintenance fluid

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9
Q

what category does 3% NaCl fit in to

A

hypertonic
- treats head injury to lower ICP

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10
Q

what category does 25% albumin fit in to

A

hypertonic; colloid
- choice for low volume in resuscitation
- IV volume expander

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11
Q

what category does 0.45%NaCl fit in to

A

hypotonic

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12
Q

what category does D5W fit in to

A

hypotonic

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13
Q

what category does 3.3% dextrose, 0.3% sodium fit in to

A

hypotonic

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14
Q

what category does D5 0.2% NaCl fit in to

A

hypotonic

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15
Q

what does Kayexalate (PO, NG) treat

A

hyperkalemia
- binds to K in intestines

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16
Q

what does KCL (IV, PO) treat

A

hypokalemia

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17
Q

what does an increase in osmolality reflect

A

dehydration

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18
Q

what does a decrease is osmolality reflect

A

overhydration

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19
Q

normal amount of urine per hour

A

0.5 ml/kg/hr

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20
Q

IV placement locations

A

external jugular, median antebrachial, median cubital, ulnar

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21
Q

BMR

A

10 calories/lb

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22
Q

causes absorption of sodium and excretion of potassium

A

aldosterone
- fluid retention

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23
Q

decreases amount of urine produced and amount water released

A

ADH

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24
Q

causes vasoconstriction

A

renin

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25
increases blood pressure through arteriole wall vasoconstriction
angiotensin II
26
MAP
70-100 mm Hg
27
CPP
55-60 mmHg
28
ICP
5-15 mmHg
29
capillary pressure at arteriole
35mmHg
30
CHP
35-18 mmHg
31
venous pressure
18 mmHg
32
SBP>135
hypertension
33
essential (idiopathic) hypertension
age
34
secondary hypertension
organ disease and preeclampsia
35
sudden onset hypertension
malignant (SBP>180) - direct acting vasodilators
36
Nipride (IV, ET), Hydralazine (IV, PO) (t1/2=2 min)
direct acting vasodilators
37
direct acting vasodilators
ACH stimulates cell produced nitric oxide - tachycardia, hypotension
38
decrease blood volume
diuretics
39
decrease CO
calcium channel blockers
40
decrease CO and vasoconstriction
adrenergic antagonists
41
"ide"
loop diuretic
42
loop diuretics
block absorption of electrolytes; loop of henle
43
furosemide
loop diuretic,1st line for hypertension, potent, IV/PO, hypokalemia, ototoxicity, PPB
44
"thiazide"
thiazide
45
thiazides
decrease reabsorption of electrolytes; distal convoluted tube
46
HZTZ, chlorothiazide metolazone
thiazide diuretic, hypokalemia
47
potassium sparing diuretic
antagonize aldosterone, push Na out and keep K in; collecting distal tubule
48
spironolactone (aldactone)
potassium sparing diuretic, hyperkalemia
49
aldactazide
thiazide and potassium sparing
50
osmotic diuretic
pull water into circulation and inhibit renin release
51
mannitol (osmitrol), isosorbide
osmotic diuretic
52
"pril"
ACE inhibitors
53
ACE inhibitors
inhibit ACE and vasodilate
54
enalapril, captopril, monopril, ramipril
ACE inhibitors, potent, hypotension
55
"tan"
ARB
56
ARB
angiotensin receptors antagonized and decrease preload and afterload
57
Losartan (cozaar), Irbesartan (avapro)
ARB, hypotension
58
hyzaar, cosart
thiazide and ARB
59
"ipine"
calcium channel blocker for smooth muscle
60
calcium channel blockers
inhibit Ca which causes muscle relaxation
61
Nifedipine, amlodipine
calcium channel blocker for smooth muscle
62
verapamil, diltiazem
calcium channel blocker for cardiac muscle
63
adrenergic antagonists
antagonize SNS to decrease catecholamine activity
64
prazosin
alpha 1 blocker which causes vasodilation and urinary incontinence
65
phentolamine
alpha 1 and 2 blocker which causes vasodilation, urinary incontinence, diarrhea
66
atenolol
beta 1 blocker which causes decreased heart rate
67
propranolol, metoprolol
beta 1 and 2 blocker which causes decreased heart rate, vasoconstriction, bronchoconstriction, decreased liver breakdown
68
lopressor HCT
thiazide and adrenergic antagonist
69
centrally acting alpha 2 agonists
decrease norepinephrine and sympathetic tone
70
clonidine, methyldopa
centrally acting alpha 2 agonists, hypotension
71
water maintenance amount
35ml/kg/day
72
glucose maintenance amount
50-100g/day
73
electrolytes
nerve conduction, membrane permeability, water balance
74
hyponatremia
treat with D5NS
75
hypernatremia
diuretics or low Na fluid
76
age hypertension
increased PVR, decreased renal blood flow and baroreceptor sensitivity - side effect is orthostatic hypotension