FCCN Level 1 Exam — Fire and Chemical Control Network Safety Certification
minimum urine output for adult - (ANSWER)0.5mL/kg/hr
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
,FCCN Level 1 Exam — Fire and Chemical Control Network Safety Certification
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
, FCCN Level 1 Exam — Fire and Chemical Control Network Safety Certification
- 25% draws 4 times the normal volume into the circulation
blood - (ANSWER)- not a risk free fluid replacement
- this is liquid transplant
third spacing - (ANSWER)- 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)
- this patient is intravascularly dry and still needs more fluid
-
can you give platelets through the ranger - (ANSWER)- no it will aggreggate the platelets
hyponatremia - (ANSWER)- less than 135 -145
- weakness
- abdominal cramping/leg cramps
- dizzy
- change in LOC
- seizures
different ways to treat hyponatremia - (ANSWER)- hypovolemic (give IV fluid)
- euvolemic (fluid restriction)
- hypervolemic (diuretic)
severe hyponatremia - (ANSWER)- EMERGENCY
minimum urine output for adult - (ANSWER)0.5mL/kg/hr
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
,FCCN Level 1 Exam — Fire and Chemical Control Network Safety Certification
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
, FCCN Level 1 Exam — Fire and Chemical Control Network Safety Certification
- 25% draws 4 times the normal volume into the circulation
blood - (ANSWER)- not a risk free fluid replacement
- this is liquid transplant
third spacing - (ANSWER)- 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)
- this patient is intravascularly dry and still needs more fluid
-
can you give platelets through the ranger - (ANSWER)- no it will aggreggate the platelets
hyponatremia - (ANSWER)- less than 135 -145
- weakness
- abdominal cramping/leg cramps
- dizzy
- change in LOC
- seizures
different ways to treat hyponatremia - (ANSWER)- hypovolemic (give IV fluid)
- euvolemic (fluid restriction)
- hypervolemic (diuretic)
severe hyponatremia - (ANSWER)- EMERGENCY
