Trans 1

Front 1

1. In proportion to water, the ttotal body weight of newborn by age of 1?

Back 1

65%

Front 2

2. Ecf is composed of?

Back 2

If and plasma

Front 3

3. Principal intracellular anion

Back 3

Protein

Front 4

4. Concentration gradient between compartment is maintained by?

Back 4

Na-K Atpase

Front 5

5. Normal osmotic pressure?

Back 5

290-310 mosm

Front 6

6. Organ with greatest amount of volume secretion?

Back 6

Small intestine>stomach>pancreas>bile

Front 7

7. Organ with greatest na content?

Back 7

Si>bile and pancreas> stomach>colon

Front 8

8. Organ with greastest k?

Back 8

Colon>stomach>si, pancreas and bile

Front 9

9. Organ with greastest cl?

Back 9

Stomach>si>bile>pancreas>colon

Front 10

10. Organ with greatest hco3?

Back 10

Pancreas>bile and si

Front 11

11. Addition of 25mmol of glucose in ecf, water tends to move in what direction?

Back 11

Towards ecf, maintaining osmolarity

Front 12

12. Greatest source of fraction of water is from?

Back 12

Drinking 75%

Front 13

13. Greatest loss of water during exercise?

Back 13

Sweat 90%

Front 14

14. The most common cause of extracellular volume deficiet

Back 14

Loss of gi fluid

Front 15

15. True or flase? There will a decrease BUN in extracellular volume deficiet?

Back 15

Flase

Front 16

16. True or false, urine osm> plamsa osm in ec fluid deficiet?

Back 16

True

Front 17

17. The most cause of ec volume excess?

Back 17

Iatrogenic

Front 18

18. It is when urine is less than 30 ml/kg/hr

Back 18

Oliguria

Front 19

19. It is when urine is less than 100ml/24 hours

Back 19

Anuria

Front 20

20. It is increase in protein degradation which elevates bun

Back 20

Azotemia

Front 21

21. Normal na value?

Back 21

135-145 meq/L, mild 130-134, mod 125- 129, profound <125

Front 22

22. A patient went to the hospital experiencing tachycardia, oliguria lethargy. The doctor diagosed she is experiencing hypernatremia. Upon lab. Exam. Urine na cxn 30meq/L and urine osm is 400mosm/ L. What type of hypernatremia is this?

Back 22

Hypervolemic

Front 23

23. Normal values of potassium

Back 23

3.5-5.5

Front 24

24. Factors that influence potassium

Back 24

Surgicsl stress

Injury

Acidosis

Tissie catabolism

Front 25

25. Calcium normal values

Back 25

8.5-10.5

Front 26

26. Normal Ionized calcium level

Back 26

4.2-4.8

Front 27

27. True or false? Hypocalcemia is seen in hyperparathyroidism

Back 27

False

Front 28

28. Signs and symptoms of hypocalcemia

Back 28

Convulsions

Arrhythmias

Tetany

Spasms

Stridor

Front 29

29. Dr. Quedado has an increased phophorous concentration in the blood and needs dailysis for his weekly regimen. What could be the cause of its hyperphophatemia?

Back 29

Impaired renal function

Front 30

30. A patient with chronic DM type II adviced by his doctor to have an insulin therapy. What could happen to its phosphrous level during therapy?

Back 30

Decrease

Front 31

31. Patient has weakness, nausea and vomiting and have taken anta acids whenever she experience GERD. What could be the patient experiencing?

Back 31

Hypermagnesemia

Front 32

32. A patient, critically ill which in IVT, suspected to hypomagnesemia. What 2 other electrolytes should be monitored prior magnesium replacement?

Back 32

K, Ca

Front 33

33. Used in na replacement

Back 33

Nss

Front 34

34. Useful for daily maintenance of body fluid and estasblishing renal function

Back 34

1/2 nss

Front 35

35. Often seen on surgery

Back 35

Lactated ringers

Front 36

36. Replaces fluid and buffers pH

Back 36

lactated ringers

Front 37

37. Helpful in rehydrating, excretory purposes and is physiologically hypotonic

Back 37

D5W

Front 38

38. Replaces NaCl and calories

Back 38

D5NS

Front 39

39. For daily maintenance of body fluid and nutrition

Back 39

D5 1/2 NS

Front 40

40. Most common post- operative fluid

Back 40

D5 1/2 NS

Front 41

41. Replaces fluid and buffers pH plus nutrition

Back 41

D5 LR

Front 42

42. Replaces fluid and buffers pH, common for OR and PACU

Back 42

Normosol R

Front 43

43. Makes the fluid more stable in storage and converted to bicarbonate by the liver

Back 43

Lactate

Front 44

44. Dr. Alta faye is on a diet for the upcoming wedding of her friend. She wasnt eating much and was on her daily rigerous exercise. Prior to the wedding she was rushed in the Emergency. After evaluation she has a score GCS 13 with shallow breathing. Lab. Test : decrease chloride, sodium and pH 7.49. She was advised to be in fluid therapy. What is the appropriate fluid therapy for Dr. Alta?

Back 44

NSS

Front 45

45. Used for correction of severe sodium deficits

Back 45

3.5-5% Hypertonic saline solution

Front 46

46. Used for closed head injuries to decrease intracranial perfusion?

Back 46

7.5% NSS

Front 47

47. Used in severe hemorrhagic shock and effective plasma expanders

Back 47

Colliod

Front 48

48. It induces renal failure and impaired pulmonary function in hemorrhagic shock patient

Back 48

Albumin

Front 49

49. Used to lower viscosity

Back 49

Dextrans

Front 50

50. Used in postoperative bleeding in cardiac and neurosurgery patients

Back 50

Hydroxyethyl starch

Front 51

51. Produced from bovine collagen, and impair blood coagulation

Back 51

Gelatin

Front 52

52. Used for hypovolemic state

Back 52

Normal saline

Front 53

53. Used euvolemic state

Back 53

Hypotonic fluids

Front 54

54. Treatment for hyponatremia

Back 54

Fluid restrictio

Na replacement

3% nss if neurologic symptoms

Front 55

55. Treatment for hypokalalemia

Back 55

Potassium removal: kayexalate, dialysis

K shift: glucose 1 ampule of D50 and insulin, bicarbonate 1 ampule IV

Caounteract cardiac effects: calcium gluconate

Front 56

56. Hypercalcemia treatment

Back 56

Diuresis w/ nss

Front 57

57. Hyperphophatemia treatment

Back 57

Phophate binders: sucralfate, aluminun, antacids, ca acetate

Dialysis

Front 58

58. Hypermagnesemia treatment

Back 58

CaCl

Front 59

59. Hypokalemis treatment

Back 59

KCl

Front 60

60. Hypocalcemia treatment

Back 60

If tolersting enteral: calcium carbonate

If not tolerating: calcium gluconate

Front 61

61. Hypophophatemia treatment

Back 61

Tolerating: neutra-phos

No tolerating: KPHO4 or NaPO4

Front 62

62. Hypomagnesemia treatment

Back 62

Magnesium sulfate

If patient has gadtric access and needs a bowel movement: milk of magnesia