Super Secret Special Deck U4

Question 1

Septic saline treatment

Answer 1

isotonic

Question 2

Pt with hypovolemia present with __ BP

Answer 2

low

Question 3

Elevated levels of what electrolyte are only seen in renal failure?

Answer 3

Mag

Question 4

What % of water should be corrected I a 24 hr period?

Answer 4

no more than 50%

Question 5

What is the free water deficit formula?

Answer 5

TBW x [(Na/140)-1]

Question 6

IV Ca should be given under which circumstance?

Answer 6

Elevated K

Question 7

Elevated T waves

Answer 7

Hyperkalemia

Question 8

Flat T waves

Answer 8

Hypokalemia

Question 9

Most common cause of hypernatremia

Answer 9

volume depletion (hypovolemia)

Question 10

Low levels of this electrolyte appear when in refractory hypokalemia

Answer 10

Mag (cofactor for pump)

Question 11

When do you use 3% Na?

Answer 11

symptomatic hyponatremia

Question 12

Which type of hyponatremia must be corrected slowly?

Answer 12

chronic

Question 13

Most common cause of hyponatremia

Answer 13

volume overload

Question 14

Low levels of which electrolyte causes diaphragm contractility issues in alcoholics?

Answer 14

Phos

Question 15

Alkalosis can cause this change in serum phosphorus concentrations

Answer 15

Decrease

Question 16

Diabetes insipidus (DI) can cause this change in serum sodium concentrations

Answer 16

Increase

Question 17

Patients with congestive heart failure generally have these type of fluid requirements

Answer 17

Decreased

Question 18

Lowering serum sodium concentrations too quickly in hypernatremic patients can cause this

Answer 18

Cerebral edema

Question 19

Raising serum sodium concentrations too quickly in a patient with hyponatremia can cause this

Answer 19

ODS

Question 20

It may take several days of replacement therapy to normalize low serum concentrations of this electrolyte

Answer 20

Mag

Question 21

This electrolyte if the primary intracellular cation

Answer 21

K

Question 22

Total body water (increases or decreases) as body fat increases

Answer 22

Decreases

Question 23

This electrolyte is a co-factor in the Na-K-ATPase pump

Answer 23

Mag

Question 24

This electrolyte is primarily responsible for maintaining the resting membrane potential

Answer 24

K

Question 25

Patients with CKD will likely require (lower, normal, higher) doses of loop diuretics to produce adequate diuresis

Answer 25

Higher

Question 26

A BUN:SCr ration greater than _____ indicates prerenal azotemia

Answer 26

20:1

Question 27

This body weight is incorporated into the Cockroft-Gault formula used to estimate creatinine clearane

Answer 27

Ideal (lean) body weight (if you weigh less than your ideal body weight just use that weight you don’t add pounds in this case, only add if patient is obese)

Question 28

This formula is commonly used in clinical practice to estimate creatinine clearance

Answer 28

Cockroft-Gault KNOW THE FORMULA FOR TEST!!!

Question 29

This is the gold standard quantitative index of kidney function

Answer 29

mGFR

Question 30

Calcium carbonate can cause low serum concentrations of this electrolyte

Answer 30

Phos

Question 31

Insulin therapy used to treat diabetic ketoacidosis can cause low serum concentrations of this cation

Answer 31

K (use for DKA, which lowers K)

Question 32

Spironolactone can cause elevated concentrations of this electrolyte

Answer 32

K

Question 33

Sevelamer can be used to lower serum concentrations of this electrolyte

Answer 33

Phos

Question 34

Loop diuretics can cause this change in serum potassium concentration

Answer 34

Decrease

Question 35

Renal function generally does this with age?

Answer 35

Declines

Question 36

Renal dysfunction can cause this change in potassium and phosphorous levels (2 answers)

Answer 36

Increase both

Question 37

Acidosis can cause this change in serum potassium concentrations

Answer 37

Increase

Question 38

Refeeding syndrome typically causes this change in serum magnesium concentrations

Answer 38

Decrease

Question 39

This is this max amount Na can be corrected in 24 hours in patients with hypo or hypernatremia

Answer 39

6-8 mEq

Question 40

The classic presentation of refeeding syndrome involves low serum concentrations of this electrolyte

Answer 40

Phos