FCCN level 1 2025 EXAM QUESTIONS AND
VERIFIED ANSWERS (100% CORRECT
ANSWERS) A+ GRADED | ALREADY PASSED!!
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Terms in this set (127)
minimum urine output for 0.5mL/kg/hr
adult
- water retainer
ADH (antidiuretic - vasoconstrictor (also called Vasopressin)
hormone) - produced by hypothalamus
- store and released from posterior pituitary
- hypothalamus senses low blood volumed and
increased serum osmolality
- signal pituitary to release ADH
ADH pathway
- ADH causes kidney to retain water
- water retention increases blood volume and
decreases serum osmolality
- cardiac hormone stored in atria
- released when atrial pressure increases
ANP (atrial natriuretic
*works opposite of RAAS by decreasing BP and
peptide)
reducing intravascular volume
- important diagnostic marker in CHF
- forces fluids and solutes through the capillary wall
hydrostatic pressure
and into the tissue spaces
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,5/14/25, 1:23 PM FCCN level 1 2025 EXAM QUESTIONS AND VERIFIED ANSWERS (100% CORRECT ANSWERS) A+ GRADED | ALREADY …
- pulling force of albumin in the intravascular spaces
colloid osmotic pressure
- pull fluid into vasculature
maintenance fluid - replaces normal ongoing losses of water and
therapy electrolytes (urine, sweat, respiration, stool)
- corrects any existing water and or electrolyte
replacement therapy
deficits
- tonicity equal to plasma in the body
- no fluid shifts because the solutions are equally
concentrated
isotonic fluids
- LR
- NS
- D5W
- lower concentration of solutes in the vasculature
than in the cell
- fluid shifts into the cell to dilute the electrolytes
hypotonic fluids
(CELL SWELLS)
- 0.45NS
- higher concentration of solutes in the vasculature
than in the cell
- pulls fluid out of cells and into the vessels (CELL
SHRINKS)
hypertonic fluid
- D5 .45NS
- D5NS
- D5LR
- 3%, 7%, 23.4% NaCl
- pull fluid into bloodstream
Albumin
colloids
- 5% is osmotically equal to plasma
- 25% draws 4 times the normal volume into the
circulation
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, 5/14/25, 1:23 PM FCCN level 1 2025 EXAM QUESTIONS AND VERIFIED ANSWERS (100% CORRECT ANSWERS) A+ GRADED | ALREADY …
- not a risk free fluid replacement
blood
- this is liquid transplant
- fluid is not lost from the body but the fluid is not
available for use in the intracellular or extracellular
compartments (fluid is in between tissues/cells)
third spacing
- this patient is intravascularly dry and still needs
more fluid
-
can you give platelets - no it will aggreggate the platelets
through the ranger
- less than 135 -145
- weakness
hyponatremia - abdominal cramping/leg cramps
- dizzy
- change in LOC
- seizures
- hypovolemic (give IV fluid)
different ways to treat
- euvolemic (fluid restriction)
hyponatremia
- hypervolemic (diuretic)
- EMERGENCY
- below 115
- give hypertonic saline if patient is symptomatic
severe hyponatremia - in ICU setting
infused slowly in small amounts....be prepared to
handle seizures
- prolonged QT
- ST depression
hypokalemia ECG
changes U WAVE is hallmark sign
if you see a U wave then YOU need K+
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