Wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Intravenous Fluid Therapy

Total questions: 40

Worksheet time: 10hrs 0mins

Name
Class
Date
1.

Blood volume (including fluid and cellular components) make up approximately ___ of the body weight of a healthy, adult cat

a)

6%-7%

b)

10%-12%

c)

15%-30%

d)

8%-9%

2.

The doctor orders IV fluids for a 65 lb dog at a rate of 10 mL/kg/hr for an orthopedic surgery. What is the IV infusion rate in mL/hr using a 15 gtt/mL set?

a)

350 mL/hr : 2 gtt/sec

b)

225 mL/hr : 1 gtt/sec

c)

325 mL/hr : 2 gtt/sec

d)

295 mL/hr : 1 gtt/3 sec

3.

Intracellular fluid makes up approximately ___ of the body weight in a healthy adult dog.

a)

20%

b)

40%

c)

60%

d)

15%

4.

A patient in the trauma unit shows clear signs of hypovolemia, yet no signs of dehydration. Which might best explain this?

a)

The patient was in a near drowning accident

b)

The patient has internal hemorrhaging after an accident

c)

The patient is experiencing edema due to rheumatoid arthritis

d)

The patient drank 5 oz of water on admission

5.

Which of the following is not a reason that IV fluids are commonly administered during anesthesia?

a)

To increase tissue perfusion

b)

To increase circulating blood volume

c)

To increase cardiac output

d)

To counteract vasoconstriction

6.

Baseline data has been collected before a minor invasive procedure for an emergency patient. Which factor indicates dehydration?

a)

Lower USG and TS

b)

Low urea concentration with elevated BUN

c)

High concentration of urea and high urine specific gravity (USG)

d)

Drop in both packed cell volume (PCV) and urea

7.

For which condition is accelerated fluid replacement most dangerous?

a)

Leukemia

b)

Urinary tract infection

c)

Respiratory failure

d)

Anemia

8.

What type of replacement fluids is recognized for its ability to expand vascular volume through its influence on oncotic pressure?

a)

Hypotonic crystalloids

b)

Colloids

c)

Isotonic crystalloids

d)

Hypertonic crystalloids

9.

A client would like to avoid hospitalization for a 12 lb dog that is hemodynamically stable. Which route of administration can be used at home, yet can still be made sure that a precise amount is delivered to the patient at the required times.

a)

SQ delivery

b)

IO cannula

c)

IV via central line

d)

Gastrotomy tube

10.

A volume depleted patient's CVP measures improve, yet the patient continues to have poor peripheral perfusion, and continued hypovolemia. What might these increases in CVP indicate?

a)

A forward flow to the heart is compromised

b)

The manometer and/or transducer must be malfunctioning

c)

This patient was initially euvolemic

d)

The perfusion test and fluid measures are wrong

11.

____ fluid therapy involves correction of dehydration, replacement of ongoing losses, and prevision of maintenance fluid requirements.

a)

Replacement

b)

Ressucitation

c)

Rescue

d)

Remittance

12.

Which of the following body fluid solutes is/are responsible for providing osmotic pressure and is/are essential for physiologic processes such as blood clotting, heart, and neuromuscular functions?

a)

Electrolytes

b)

Red Blood Cells

c)

Proteins

d)

Glucose

13.

Which increase in CVP is most likely to indicate volume overload?

a)

0-7.5 cm of H2O

b)

2-4 cm of H2O

c)

5-10 cm of H2O

d)

0-10 cm of H2O

14.

Which is not a goal of IV fluid administration?

a)

Flushing toxins from the urinary system

b)

Replacing volume deficits

c)

Providing nutrition

d)

Maintaining appropriate hydration

15.

Dogs have a circulating blood volume of approximately

a)

40-60 mL/kg

b)

80-90 mL/kg

c)

40% of BW

d)

60% of BW

16.

A patient's PCV appears to be elevated initially in a patient with dehydration. However, subsequent evaluation shows that the PCV evaluation was false, even though the patient was clearly dehydrated. What is the best explanation for this?

a)

Dehydration determinations are only meaningful if elevated PCV is accompanied by a decrease in TS.

b)

The patient is actively hemorrhaging

c)

Volume depletion is not related to hemorrhaging

d)

The patient is anemic

17.

As the largest compartment for body water, the ____ represents approximately 40% of an animal's body weight.

a)

Interstitial space

b)

Extracellular compartment

c)

Intravascular space

d)

Intracellular compartment

18.

Which of the following would NOT be considered a hypertonic saline solution?

a)

3% saline

b)

0.9% saline

c)

7% saline

d)

0.45% saline

19.

Once fluid therapy has been initiated and maintained, how much urine should a patient with normal renal function produce?

a)

5-8 mL/kg/hr

b)

1-2 mL/kg/hr

c)

2-4 mL/kg/hr

d)

0.2-0.5 mL/kg/hr

20.

Transcellular fluid is considered part of the ____

a)

Interstitial space

b)

Intravascular space

c)

Extracellular compartment

d)

Intracellular space

21.

The recommended surgical IV administration rate in cats is

a)

5 mL/kg/hr for the first hour, followed by 3 mL/kg/hr for the remainder of the procedure

b)

8 mL/kg/hr for the first hour, followed by 5 mL/kg/hr for the remainder of the procedure

c)

10 mL/kg/hr for the first hour, followed by 8 mL/kg/hr for the remainder of the procedure

d)

15 mL/kg/hr for the first hour, followed by 10 mL/kg/hr for the remainder of the procedure

22.

The acceptable crystalloid IV infusion rates for a cat in shock would be up to ____

a)

3-10 mL/kg

b)

12-20 mL/kg

c)

40-60 mL/kg

d)

25-30 mL/kg

23.

Which is a sign of marked to moderate dehydration in a labradoodle?

a)

Decreased heart rate

b)

A fold of pinched skin that does not retain the "tent" shape very long

c)

Sunken eyes

d)

Absence of panting

24.

After being left in a hot car for too long a dog is in stable condition with moderate dehydration and other symptoms of overheating. However, his mucous membranes are moist and shiny despite marked dehydration.

a)

He has been panting a lot

b)

He is suffering from nausea

c)

He is not really dehydrated

d)

Dehydration does not affect the mucous membranes

25.

Blood volume (including fluid and cellular components) make up approximately ___ of the body weight of healthy adult dog.

a)

10%-12%

b)

6%-7%

c)

15%-30%

d)

8%-9%

26.

___ fluids should never be used in fluid resuscitation (administered rapidly as a bolus) because they are highly ineffective at expanding vascular volume and could cause overly rapid changes in blood osmolarity.

a)

Normotonic

b)

Isotonic

c)

Hypotonic

d)

Hypertonic

27.

Which sign indicates that a patient has early manifestations of hypovolemia?

a)

A femoral pulse increases

b)

Heart rate decreases

c)

CRT becomes prolongued

d)

Dorsal pedal pulse increases

28.

The plasma concentrations of which of the following solutes should be kept in a very narrow range in order to maintain normal muscle and heart functions?

a)

Sodium and magnesium

b)

Potassium and magnesium

c)

Potassium and calcium

d)

Magnesium and calcium

29.

Which condition often presents initially along with hypovolemia?

a)

Elevated peripheral perfusion

b)

Hyperactivity

c)

Hypotension

d)

Weight gain

30.

Patients that began having profound hemorrhages during surgery require

a)

Crystalloids

b)

Colloids

c)

Blood products

d)

Hypertonic saline

31.

How much fluid would you replace over the first 24 hours for a 30 kg dog who is estimated to be 9% dehydrated?

a)

3200 mL

b)

2700 mL

c)

1350 mL

d)

1400 mL

32.

To measure CVP in a patient in sternal recumbency the transducer (or the 0 point on the manometer) should be placed at the level of the ____ as the ____ as a landmark.

a)

left atrium; stifle joint

b)

left atrium; sternum

c)

right atrium; scapulohumeral joint

d)

right atrium; manubrium

33.

Which side effect is most closely linked to the use of hypertonic saline (HTS) in veterinary patients requiring treatment for fluid loss?

a)

Anaphylactic reactions

b)

Hypercloremia

c)

Increased coagulation times

d)

Histamine release in cats

34.

Which of the following solutions are considered isotonic polyionic crystalloids?

a)

Lactated ringer's solution and Normosol-R

b)

Plasma-lyte A, 2.5% dextrose

c)

5% dextrose and 0.9% saline

d)

Hetastarch and Lactated ringer's solution

35.

A cat is receiving a combination of a colloid/crystalloid administration. Which effect should this patient be monitored for specifically?

a)

Hyperosmolarity

b)

Histamine release

c)

Hypercloremia

d)

Hypernatremia

36.

Colloids ____ by increasing the oncotic pressure of blood.

a)

move fluid into the peritoneal space

b)

move fluid into the vascular space

c)

move fluids into the intracellular space

d)

move fluids into the interstitial space

37.

The high osmolarity of ___ saline will cause a shift of fluid from the interstitial space to the intravascular space promoting rapid expansion of vascular volume (volume expansion) to aid in resuscitation.

a)

Normotonic

b)

Isotonic

c)

Hypotonic

d)

Hypertonic

38.

0.45% sodium chloride is an example of a ___ fluid.

a)

Colloid

b)

Isotonic crystalloid

c)

Hypertonic crystalloid

d)

Hypotonic crystalloid

39.

A constant state within the body created and maintained by normal physiologic processes is

a)

Osmolarity

b)

Electroneutrality

c)

Oncotic pressure

d)

Homeostasis

40.

What type of fluid should be used during routine surgeries on healthy patients as well as sick patients with normal PCV levels

a)

Dextrose

b)

Colloids

c)

Blood products

d)

Crystalloids