NUR 623 (Adult_Gero Acute) MOD #2, IVF_lactic acidosis, inpatient hyper_hypoglycemia
Questions with CORRECT Answers (Grade A+)
Question 1:
initial IV fluid bolus for sepsis with goals
Answer:
30ml/kg LR or NS bolus *MAP goal > 65 -improvement in creatinine and lactate, increase in UOP
-move to pressors after fluids
Question 2:
crystalloids vs colloids
Answer:
-crystalloids - water with electrolytes colloids - larger molecules that maintain blood volume
Question 3:
remember, osmosis works by
Answer:
water traveling from low solute concentration to high concentration
Question 4:
isotonic fluids
Answer:
same solute concentration as blood - no movement of water in and out of cells -ex. NS, LR
Question 5:
risk of excessive NS
Answer:
hyperchloremic metabolic acidosis- can cause AKI -hypernatremia -fluid overload
Question 6:
hypotonic fluids
Answer:
lower solute concentration than blood - water goes into cells, cell expands ex. 0.45% saline
, Question 7:
hypertonic fluids
Answer:
higher solute concentration than blood - water leaves cells, cells shrink ex. 3% saline
Question 8:
for hemorrhagic shock, treatment should prioritize
Answer:
blood products over crystalloid
Question 9:
Which of the following best indicates the need for intravenous fluid resuscitation in a critically ill
adult patient?
Answer:
MAP <65 lactate >2 UOP < 0.5ml/kg/her
Question 10:
what is lactic acidosis
Answer:
body produces lactate as a byproduct of anaerobic metabolism -can be L-lactate (sepsis, shock) -or
D-lactate (short bowel syndrome, GI issues) -any lactate >2 is lactic acidosis
Question 11:
normal lactate?
Answer:
6-1.8
Question 12:
a lactate > 8 has a high risk for
Answer:
mortality
Question 13:
Questions with CORRECT Answers (Grade A+)
Question 1:
initial IV fluid bolus for sepsis with goals
Answer:
30ml/kg LR or NS bolus *MAP goal > 65 -improvement in creatinine and lactate, increase in UOP
-move to pressors after fluids
Question 2:
crystalloids vs colloids
Answer:
-crystalloids - water with electrolytes colloids - larger molecules that maintain blood volume
Question 3:
remember, osmosis works by
Answer:
water traveling from low solute concentration to high concentration
Question 4:
isotonic fluids
Answer:
same solute concentration as blood - no movement of water in and out of cells -ex. NS, LR
Question 5:
risk of excessive NS
Answer:
hyperchloremic metabolic acidosis- can cause AKI -hypernatremia -fluid overload
Question 6:
hypotonic fluids
Answer:
lower solute concentration than blood - water goes into cells, cell expands ex. 0.45% saline
, Question 7:
hypertonic fluids
Answer:
higher solute concentration than blood - water leaves cells, cells shrink ex. 3% saline
Question 8:
for hemorrhagic shock, treatment should prioritize
Answer:
blood products over crystalloid
Question 9:
Which of the following best indicates the need for intravenous fluid resuscitation in a critically ill
adult patient?
Answer:
MAP <65 lactate >2 UOP < 0.5ml/kg/her
Question 10:
what is lactic acidosis
Answer:
body produces lactate as a byproduct of anaerobic metabolism -can be L-lactate (sepsis, shock) -or
D-lactate (short bowel syndrome, GI issues) -any lactate >2 is lactic acidosis
Question 11:
normal lactate?
Answer:
6-1.8
Question 12:
a lactate > 8 has a high risk for
Answer:
mortality
Question 13:
