MSN 622 FINAL EXAM SCRIPT TESTED
QUESTIONS WITH ACCURATE DETAILED
ANSWERS PRACTICE SOLUTION
⩥ crystalloids.
Answer: isotonic, hypertonic, hypotonic
⩥ Hypotonic.
Answer: 0.45% sodium chloride
0.33% sodium chloride
0.25% sodium chloride
shift fluid from blood to the cells
has less sodium
⩥ isotonic solutions.
Answer: normal saline 0.9
(154meq/l of sodium concentration)
dextrose 5% in water
,LR
do not cause fluid shift
⩥ hypertonic solution.
Answer: 3% sodium chloride
dextrose 5% in sodium chloride (.45% or .9%)
mannitol
fluid shift from the cell into central circulation
IV pump only
⩥ colloids.
Answer: albumin-blood product and will need blood consent
dextran 40% in D5W
plasma protein fraction
hetastarch 6% in NS
increases volume in central circulation by using less volume
, large molecules stay in blood stream longer
⩥ PPI-proton pump inhibitors.
Answer: omeprazole (prilosec)
pantroprazole (protonix)
inhibits the enzyme that generates gastric acid. Brings the pH up.
for GERD and PUD
can cause rebound issues after long term use
do not use more than 4-8weeks- not PRN
more potent than H2 receptor antagonist
OTC
long term use: risk of fractures-pt should take calcium and vitamin D
QUESTIONS WITH ACCURATE DETAILED
ANSWERS PRACTICE SOLUTION
⩥ crystalloids.
Answer: isotonic, hypertonic, hypotonic
⩥ Hypotonic.
Answer: 0.45% sodium chloride
0.33% sodium chloride
0.25% sodium chloride
shift fluid from blood to the cells
has less sodium
⩥ isotonic solutions.
Answer: normal saline 0.9
(154meq/l of sodium concentration)
dextrose 5% in water
,LR
do not cause fluid shift
⩥ hypertonic solution.
Answer: 3% sodium chloride
dextrose 5% in sodium chloride (.45% or .9%)
mannitol
fluid shift from the cell into central circulation
IV pump only
⩥ colloids.
Answer: albumin-blood product and will need blood consent
dextran 40% in D5W
plasma protein fraction
hetastarch 6% in NS
increases volume in central circulation by using less volume
, large molecules stay in blood stream longer
⩥ PPI-proton pump inhibitors.
Answer: omeprazole (prilosec)
pantroprazole (protonix)
inhibits the enzyme that generates gastric acid. Brings the pH up.
for GERD and PUD
can cause rebound issues after long term use
do not use more than 4-8weeks- not PRN
more potent than H2 receptor antagonist
OTC
long term use: risk of fractures-pt should take calcium and vitamin D
