IVFs

Question 1

Replacement fluids should be __-tonic

Answer 1

Isotonic

LR, NS

Question 2

Maintenance fluids should be __-tonic

to make up for insensible losses

Answer 2

Hypotonic

D5W, 1/2 NS

Question 3

D5W is composed of ____ with 25mg Potassium

Answer 3

1/2 normal saline

Question 4

Colloids have solids suspended in fluid and include:

Answer 4

plasma, RBCs, Plts

stay in vasculature thus providing oncotic pressure

Question 5

Crystalloids fluids include:

Answer 5

LR, NS, D5W, hypertonic saline

Question 6

Hypertonic fluids include:

Answer 6

D10W, D20W, D50W

3% NaCl, 5% NaCl

Question 7

Maintenance Fluid Rate is calculated based on ___.

Answer 7

weight

Question 8

What is the 4-2-1 rule for fluids?

Answer 8

40 ml/kg/hr for the first 10kg of body mass
20 ml/kg/hr for the second 10kg of body mass
1 ml/kg/hr for any kilogram of body mass > 20kg

Question 9

What is the amount of maintenance fluids required for a 45 kg individual?
70kg

Answer 9

10kg + 10kg + 25kg = 45 kg
40ml + 20ml + 25ml = 85 ml/hr

10kg + 10kg + 50kg = 70kg
40ml + 20ml + 50ml = 110 ml/hr

Question 10

Fluid bolus is calculated by
__ mL per kilogram of weight

ex) Fluid bolus for 45 kg

Answer 10

20ml/kg

20ml x 45kg = 900ml