ACTUAL Exam Questions and CORRECT
Answers
Osmolality - CORRECT ANSWER - amount of particles within a fluid contributing to a
fluid's concentration
- High osmolality: hypertonic solution
- balanced osmolality: isotonic solution
- Low osmolality: hypotonic solution
Hydrostatic pressure - CORRECT ANSWER - A force pressing outward against a surface
Osmotic pressure - CORRECT ANSWER - an inward pulling pressure towards a higher
concentration
Diffusion - CORRECT ANSWER - passive movement of particles down a concentration
gradient
Active Transport - CORRECT ANSWER - using energy to move electrolytes across cell
membrane
Fluid moves to the cell in the following order: - CORRECT ANSWER - 1. Vascular
System
2. Capillary Membrane
3. Interstitial Area
4. Cell Membrane
Osmolality Imbalance - CORRECT ANSWER - the blood is too concentrated/dilute
, Labs to Measure Osmolality - CORRECT ANSWER - Osmolality Specific- most
accurate!!
Urine Specific Gravity-
Hgb & Hct- the higher the Hct, the higher the osmolality
Sodium levels- water follows salt!! If sodium is elevated, then osmolality is elevated
Types of IV Fluids - CORRECT ANSWER -
Hypertonic Solution - CORRECT ANSWER - - Concentrated and usually given when
Blood Osmolality is Low
- Combination of Dextrose & Saline together W/ Water makes these fluids hypertonic
- Help draw fluid back into the Vascular Space= decreasing edema
- Low Blood Osmolality + Hypertonic Fluid = Isotonic Blood
- D5 NaCl
- D5 LR
- D5 0.45% NaCl
Isotonic Solution - CORRECT ANSWER - - Used for dehydration
- Equal balance Particles and Water
- Normal Blood Osmolality + Isotonic Fluid = No change in Isotonic Blood
-0.9% NaCl
- LR