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fluid therapy

QuestionAnswer
Being the smart Rvt you are, what fluids would you get ready for Darwin (hint same used for Sub Q fluids) ? isotonic crystalloids
Upon arrival Darwin is unresponsive, Pale MM, cold extremities, HR-220, very weak pulse. What phase of fluid therapy would Darwin be classified in? Resuscitation
The vet ask you to give bolus of 40ml/kg but spread out over 3 initial Bolus. While you are doing this the VA who is restraining Darwin ask why the Bolus need to be spread. How would you answer that question? To assist with shock, cats can easily become overhydrated
After 2 Bolus Darwin begins to be responsive, 2 weeks ago Darwin was in for vaccines and weighed 12lbs, The DVM says that Darwin lost 15%, how much blood has Darwin lost (go with the low end range) ( 12lbs / 2.2=5.45kg 5.45kg x 40ml/kg=218ml 218ml x 0.15ml=32.7m
1.0 / 1.0 Is Darwin dehydrated or Hypovolemic? Hypovolemic
(Bonus) From your answer for above, the Dvm ask you to change your fluid type she is concerned about Darwin's plasma volume-what fluid type does the DVM want you to put Darwin on explain Hypertonic Crystalloids to try and expand the plasma Volume Synthetic Colloid-Large particles stay in the vascular space as well will pull fluid from the interstitial space (but will dehydrate the other tissues so isotonic will need to be added)
(Bonus) after being on fluids for a little bit, Darwin is now stable, but the Dvm request for him to have a blood transfusion. Why does the Dvm want to give Darwin a blood transfusion?(1pts) By giving the Hypertonic crystalloids or synthetic Colloid it will expand the plasma volume but dilute the hemoglobin-brings 02 to the tissues, Blood transfusion is needed to replace the diluted hemoglobin
We know that crystalloids leave the vascular space very quickly, within 30 minutes how much of our fluid has left that vascular space? 2/3
What is the formula that we use to calculate the replacement rate? dehydration + ongoing loss + maintenance
There are 2 types of water loss, name, define both. Give 1 example for each. Sensible water loss: is easy to measure : Urine & feces Insensible water loss; is difficult to measure ; Respiratory, sweat, mucous membranes
3.0 / 3.0 What are the 3 ways normal animals obtain their water sources. drinking, from food, metabolic water.
True or False. Colloids contain small molecules that can pass through a vessel wall and enter all body compartments False
True or False. Crystalloids are categorized into 2 categories balanced & complete. False
True or False. Administration of intraosseous fluids is equivalent to administration of IV Fluids. True
True or False. Intraperitoneal Route has the highest risk of infection of all routes. True
True or False. Intraosseous catheters should be placed in the femur, humerus, wing of the pubis False
True or False. Hypertonic Crystalloids should be given for Sub Q Fluids. False
True or False. Intravenous fluids are the preferable route for patients with metabolic disorders True
True or False. When giving Sub Q fluids-50ml per injection site. True
True or False. When administering Sub Q fluids to a patient the ideal spot is directly over limbs False
True or False. Dehydrated animals have increased Gi Functions False
True or False. Bradycardia is a sign of overhydration. False
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