FCCN LEVEL 1 EXAMINATION EVALUATION
TEST PAPER INCLUDING COMPLETE
PRACTICE QUESTIONS GRADED A PLUS
◉ ADH (antidiuretic hormone). Answer: - water retainer
- vasoconstrictor (also called Vasopressin)
- produced by hypothalamus
- store and released from posterior pituitary
◉ ADH pathway. Answer: - hypothalamus senses low blood volumed
and increased serum osmolality
- signal pituitary to release ADH
- ADH causes kidney to retain water
- water retention increases blood volume and decreases serum
osmolality
◉ ANP (atrial natriuretic peptide). Answer: - cardiac hormone stored
in atria
- released when atrial pressure increases
,*works opposite of RAAS by decreasing BP and reducing
intravascular volume
- important diagnostic marker in CHF
◉ hydrostatic pressure. Answer: - forces fluids and solutes through
the capillary wall and into the tissue spaces
◉ colloid osmotic pressure. Answer: - pulling force of albumin in the
intravascular spaces
- pull fluid into vasculature
◉ maintenance fluid therapy. Answer: - replaces normal ongoing
losses of water and electrolytes (urine, sweat, respiration, stool)
◉ replacement therapy. Answer: - corrects any existing water and or
electrolyte deficits
◉ isotonic fluids. Answer: - tonicity equal to plasma in the body
- no fluid shifts because the solutions are equally concentrated
- LR
- NS
- D5W
, ◉ hypotonic fluids. Answer: - lower concentration of solutes in the
vasculature than in the cell
- fluid shifts into the cell to dilute the electrolytes (CELL SWELLS)
- 0.45NS
◉ hypertonic fluid. Answer: - higher concentration of solutes in the
vasculature than in the cell
- pulls fluid out of cells and into the vessels (CELL SHRINKS)
- D5 .45NS
- D5NS
- D5LR
- 3%, 7%, 23.4% NaCl
◉ colloids. Answer: - pull fluid into bloodstream
Albumin
- 5% is osmotically equal to plasma
- 25% draws 4 times the normal volume into the circulation
◉ blood. Answer: - not a risk free fluid replacement
- this is liquid transplant
TEST PAPER INCLUDING COMPLETE
PRACTICE QUESTIONS GRADED A PLUS
◉ ADH (antidiuretic hormone). Answer: - water retainer
- vasoconstrictor (also called Vasopressin)
- produced by hypothalamus
- store and released from posterior pituitary
◉ ADH pathway. Answer: - hypothalamus senses low blood volumed
and increased serum osmolality
- signal pituitary to release ADH
- ADH causes kidney to retain water
- water retention increases blood volume and decreases serum
osmolality
◉ ANP (atrial natriuretic peptide). Answer: - cardiac hormone stored
in atria
- released when atrial pressure increases
,*works opposite of RAAS by decreasing BP and reducing
intravascular volume
- important diagnostic marker in CHF
◉ hydrostatic pressure. Answer: - forces fluids and solutes through
the capillary wall and into the tissue spaces
◉ colloid osmotic pressure. Answer: - pulling force of albumin in the
intravascular spaces
- pull fluid into vasculature
◉ maintenance fluid therapy. Answer: - replaces normal ongoing
losses of water and electrolytes (urine, sweat, respiration, stool)
◉ replacement therapy. Answer: - corrects any existing water and or
electrolyte deficits
◉ isotonic fluids. Answer: - tonicity equal to plasma in the body
- no fluid shifts because the solutions are equally concentrated
- LR
- NS
- D5W
, ◉ hypotonic fluids. Answer: - lower concentration of solutes in the
vasculature than in the cell
- fluid shifts into the cell to dilute the electrolytes (CELL SWELLS)
- 0.45NS
◉ hypertonic fluid. Answer: - higher concentration of solutes in the
vasculature than in the cell
- pulls fluid out of cells and into the vessels (CELL SHRINKS)
- D5 .45NS
- D5NS
- D5LR
- 3%, 7%, 23.4% NaCl
◉ colloids. Answer: - pull fluid into bloodstream
Albumin
- 5% is osmotically equal to plasma
- 25% draws 4 times the normal volume into the circulation
◉ blood. Answer: - not a risk free fluid replacement
- this is liquid transplant
