WorksheetsIntravenous Fluid Therapy
Total questions: 40
Worksheet time: 10hrs 0mins
Blood volume (including fluid and cellular components) make up approximately ___ of the body weight of a healthy, adult cat
6%-7%
10%-12%
15%-30%
8%-9%
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?
350 mL/hr : 2 gtt/sec
225 mL/hr : 1 gtt/sec
325 mL/hr : 2 gtt/sec
295 mL/hr : 1 gtt/3 sec
Intracellular fluid makes up approximately ___ of the body weight in a healthy adult dog.
20%
40%
60%
15%
A patient in the trauma unit shows clear signs of hypovolemia, yet no signs of dehydration. Which might best explain this?
The patient was in a near drowning accident
The patient has internal hemorrhaging after an accident
The patient is experiencing edema due to rheumatoid arthritis
The patient drank 5 oz of water on admission
Which of the following is not a reason that IV fluids are commonly administered during anesthesia?
To increase tissue perfusion
To increase circulating blood volume
To increase cardiac output
To counteract vasoconstriction
Baseline data has been collected before a minor invasive procedure for an emergency patient. Which factor indicates dehydration?
Lower USG and TS
Low urea concentration with elevated BUN
High concentration of urea and high urine specific gravity (USG)
Drop in both packed cell volume (PCV) and urea
For which condition is accelerated fluid replacement most dangerous?
Leukemia
Urinary tract infection
Respiratory failure
Anemia
What type of replacement fluids is recognized for its ability to expand vascular volume through its influence on oncotic pressure?
Hypotonic crystalloids
Colloids
Isotonic crystalloids
Hypertonic crystalloids
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.
SQ delivery
IO cannula
IV via central line
Gastrotomy tube
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 forward flow to the heart is compromised
The manometer and/or transducer must be malfunctioning
This patient was initially euvolemic
The perfusion test and fluid measures are wrong
____ fluid therapy involves correction of dehydration, replacement of ongoing losses, and prevision of maintenance fluid requirements.
Replacement
Ressucitation
Rescue
Remittance
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?
Electrolytes
Red Blood Cells
Proteins
Glucose
Which increase in CVP is most likely to indicate volume overload?
0-7.5 cm of H2O
2-4 cm of H2O
5-10 cm of H2O
0-10 cm of H2O
Which is not a goal of IV fluid administration?
Flushing toxins from the urinary system
Replacing volume deficits
Providing nutrition
Maintaining appropriate hydration
Dogs have a circulating blood volume of approximately
40-60 mL/kg
80-90 mL/kg
40% of BW
60% of BW
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?
Dehydration determinations are only meaningful if elevated PCV is accompanied by a decrease in TS.
The patient is actively hemorrhaging
Volume depletion is not related to hemorrhaging
The patient is anemic
As the largest compartment for body water, the ____ represents approximately 40% of an animal's body weight.
Interstitial space
Extracellular compartment
Intravascular space
Intracellular compartment
Which of the following would NOT be considered a hypertonic saline solution?
3% saline
0.9% saline
7% saline
0.45% saline
Once fluid therapy has been initiated and maintained, how much urine should a patient with normal renal function produce?
5-8 mL/kg/hr
1-2 mL/kg/hr
2-4 mL/kg/hr
0.2-0.5 mL/kg/hr
Transcellular fluid is considered part of the ____
Interstitial space
Intravascular space
Extracellular compartment
Intracellular space
The recommended surgical IV administration rate in cats is
5 mL/kg/hr for the first hour, followed by 3 mL/kg/hr for the remainder of the procedure
8 mL/kg/hr for the first hour, followed by 5 mL/kg/hr for the remainder of the procedure
10 mL/kg/hr for the first hour, followed by 8 mL/kg/hr for the remainder of the procedure
15 mL/kg/hr for the first hour, followed by 10 mL/kg/hr for the remainder of the procedure
The acceptable crystalloid IV infusion rates for a cat in shock would be up to ____
3-10 mL/kg
12-20 mL/kg
40-60 mL/kg
25-30 mL/kg
Which is a sign of marked to moderate dehydration in a labradoodle?
Decreased heart rate
A fold of pinched skin that does not retain the "tent" shape very long
Sunken eyes
Absence of panting
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.
He has been panting a lot
He is suffering from nausea
He is not really dehydrated
Dehydration does not affect the mucous membranes
Blood volume (including fluid and cellular components) make up approximately ___ of the body weight of healthy adult dog.
10%-12%
6%-7%
15%-30%
8%-9%
___ 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.
Normotonic
Isotonic
Hypotonic
Hypertonic
Which sign indicates that a patient has early manifestations of hypovolemia?
A femoral pulse increases
Heart rate decreases
CRT becomes prolongued
Dorsal pedal pulse increases
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?
Sodium and magnesium
Potassium and magnesium
Potassium and calcium
Magnesium and calcium
Which condition often presents initially along with hypovolemia?
Elevated peripheral perfusion
Hyperactivity
Hypotension
Weight gain
Patients that began having profound hemorrhages during surgery require
Crystalloids
Colloids
Blood products
Hypertonic saline
How much fluid would you replace over the first 24 hours for a 30 kg dog who is estimated to be 9% dehydrated?
3200 mL
2700 mL
1350 mL
1400 mL
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.
left atrium; stifle joint
left atrium; sternum
right atrium; scapulohumeral joint
right atrium; manubrium
Which side effect is most closely linked to the use of hypertonic saline (HTS) in veterinary patients requiring treatment for fluid loss?
Anaphylactic reactions
Hypercloremia
Increased coagulation times
Histamine release in cats
Which of the following solutions are considered isotonic polyionic crystalloids?
Lactated ringer's solution and Normosol-R
Plasma-lyte A, 2.5% dextrose
5% dextrose and 0.9% saline
Hetastarch and Lactated ringer's solution
A cat is receiving a combination of a colloid/crystalloid administration. Which effect should this patient be monitored for specifically?
Hyperosmolarity
Histamine release
Hypercloremia
Hypernatremia
Colloids ____ by increasing the oncotic pressure of blood.
move fluid into the peritoneal space
move fluid into the vascular space
move fluids into the intracellular space
move fluids into the interstitial space
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.
Normotonic
Isotonic
Hypotonic
Hypertonic
0.45% sodium chloride is an example of a ___ fluid.
Colloid
Isotonic crystalloid
Hypertonic crystalloid
Hypotonic crystalloid
A constant state within the body created and maintained by normal physiologic processes is
Osmolarity
Electroneutrality
Oncotic pressure
Homeostasis
What type of fluid should be used during routine surgeries on healthy patients as well as sick patients with normal PCV levels
Dextrose
Colloids
Blood products
Crystalloids
