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Unit 2 Clin Med Lab > L7: What fluid to choose? > Flashcards

L7: What fluid to choose? Flashcards

1
Q

Surgical patients with 3rd spacing

A

Albumin

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2
Q

Alternatives to albumin

A

Dextran 40
Dextran 70
Hydroxyethyl Starch

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3
Q

Severe anemia

A

PRBCs

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4
Q

Hemorrhage

A

PRBCs

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5
Q

Burns/peritonitis

A

Colloids

Albumin

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6
Q

Complete bowel obstruction

A

TPN

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7
Q

Inflammatory bowel disease

→ bowel rest may induce remission

A

TPN

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8
Q

Maintenance fluids for peds

A

D5/.25NA with 20 meq KCL

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9
Q

IV boluses

A

Isotonic crystalloid

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10
Q

Correct warfarin bleeding

A

Fresh frozen plasma

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11
Q

Significant multisystem disease

A

TPN

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12
Q

Correct vitamin K deficiency bleeding

A

Fresh frozen plasma

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13
Q

Edema

A

Albumin

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14
Q

Treatment of dehydration/hypovolemia

A

Isotonic crystalloid

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15
Q

Thrombocytopenia

A

Platelets

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16
Q

Liver disease

A

Albumin

17
Q

Serum albumin >2.5

A

albumin is not useful

18
Q

Small bowel resection

A

TPN

19
Q

Replacement therapy

A

depends on fluid lost

20
Q

Preferred choice rapid correction of severe hypovolemia

A

Isotonic crystalloid

21
Q

Impaired platelet function

A

Platelets

22
Q

Life threatening hyponatremia with significant water excess

A

Hypertonic crystalloid: 3% NS

23
Q

Maintenance fluids

A

.5 NS

.25 NS

24
Q

Severe hypovolemia

A

Don’t use colloids

25
Q

Hypoglycemia

A

D5W

26
Q

Bolus

A

NS
LR
Plasma-lyte
PRBCs

27
Q

When crystalloids fail to sustain plasma volume due to low osmotic pressure: considerable protein loss from vascular space (burns, peritonitis)

A

Colloids

28
Q

Maintenance fluids for an adult

A

D5/.5NS with 20 meq KCL

29
Q

Pre-existing nutritional deprivation

→ unable to tolerate enteral

A

TPN

30
Q

What’s better to use that fresh frozen plasma anyhow

A

Prothrombin complex concentrates

31
Q

Intra-operative alternative to albumin

A

Hydroxyethyl Starch

32
Q

Anticipated/actual inadequate energy intake by mouth
→ adults >7-10 days
→ peds >3-7 days

A

TPN

Unit 2 Clin Med Lab (8 decks)

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