Maintenance Therapy

Question 1

Sources of water loss

Answer 1

Urine 60%, insensible (skin and lungs) 35%, stool 5%

Question 2

Glucose in maintenance fluids provides approximately ___% of normal caloric needs

Answer 2

20

Question 3

D5 containing fluids provides ___ calories

Answer 3

17 calories/100mL

Question 4

A patient receiving maintenance fluids will lose ___% of weight each day

Answer 4

0.5-1

Question 5

Upper limit of maintenance fluid in adult-sized patients

Answer 5

2.4L/24h

Question 6

Holliday-Segar method of maintenance fluid computation is not suitable for

Answer 6

1) Neonates <14 days 2) Conditions associated with abnormal losses

Question 7

IVFs are deisgned to have an osmolality of ___ to prevent RBC hemolysis

Answer 7

285 or greater

Question 8

___% increase in water needs is needed for every 1C increase in temp above 38C

Answer 8

10-15

Question 9

Isotonic parenteral solutions

Answer 9

0.9% saline, LR, 5% albumin

Question 10

Osmolality in mOsm/L: LR

Answer 10

280

Question 11

Osmolality in mOsm/L: NSS

Answer 11

308

Question 12

Osmolality in mOsm/L: D10W

Answer 12

555

Question 13

Osmolality in mOsm/L: D5W

Answer 13

278

Question 14

Glucose content of D5-containing fluids (mmol/L)

Answer 14

278

Question 15

Osmolality in mOsm/L: 5% albumin

Answer 15

260

Question 16

Contents: LR

Answer 16

Na 130, Cl 110, HCO3 25, K 4

Question 17

Contents: NSS

Answer 17

Na 154, Cl 154

Question 18

Contents: D5 0.3

Answer 18

Glu 278, Na 51, Cl 52

Question 19

D5IMB

Answer 19

Glu 278, Na 25, Cl 22, HCO3 23, K 20

Question 20

D5NM

Answer 20

Glu 278, Na 40 Cl 40, HCO3 16, K 13