Dehydration and Electrolyte Disturbances in Medical Illnesses
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Questions and Answers

What is a common problem that may lead to intravascular volume contraction and sodium depletion?

  • Inability to access fluids (correct)
  • High sodium diet
  • Excessive fluid intake
  • Overhydration

Which syndrome can contribute to sodium depletion?

  • Inappropriate antidiuretic hormone secretion (correct)
  • Pulmonary embolism
  • Vitamin deficiency
  • Hypoglycemia

What response does the kidney have to volume depletion?

  • Decrease sodium retention
  • Enhance edema formation
  • Increase free water excretion
  • Conserve free water (correct)

Which solution is considered the most versatile method for treating volume depletion?

<p>Intravenous saline (A)</p> Signup and view all the answers

What happens when the kidney conserves free water in response to volume depletion?

<p>Sodium overload exacerbates (B)</p> Signup and view all the answers

Which condition can be exacerbated by an increase in sodium retention during volume depletion?

<p>Hypernatremia (B)</p> Signup and view all the answers

Which symptom is NOT typically associated with potassium depletion?

<p>Fatigue (C)</p> Signup and view all the answers

What electrolyte deficit often complicates the symptoms of potassium depletion?

<p>Magnesium (C)</p> Signup and view all the answers

Which type of fluid is commonly used for dehydrated patients with ongoing fluid losses?

<p>Isotonic fluids (B)</p> Signup and view all the answers

What is the initial recommended rate of maintenance therapy in hospitalized patients?

<p>$25-30$ ml/kg/day (D)</p> Signup and view all the answers

Which type of solution worsens hyperchloremic metabolic acidosis due to high rates of infusion?

<p>Crystalloids (B)</p> Signup and view all the answers

What is the preferred route for administering fluids, including maintenance and replacement fluids?

<p>Oral intake (A)</p> Signup and view all the answers

What is the primary reason for administering hypertonic (3%) saline in a monitored setting?

<p>To reduce the risk of overly rapid correction and demyelination syndrome (A)</p> Signup and view all the answers

How does a healthy individual differ from a sick individual in terms of managing water and electrolytes?

<p>Sick individuals cannot regulate intake and excretion of water and electrolytes effectively (A)</p> Signup and view all the answers

Which electrolyte is NOT mentioned as one of the imperative minerals in the body?

<p>Iron (C)</p> Signup and view all the answers

What can be an indication of an illness or improper fluid regulation based on electrolyte levels?

<p>High or low levels of electrolytes (B)</p> Signup and view all the answers

In what medical condition is fluid replacement particularly important to prevent morbidity?

<p>Dehydration (D)</p> Signup and view all the answers

What is a potential consequence of correcting hypernatremia too slowly in patients with low fluid intake?

<p>Development of thrombotic vascular events (C)</p> Signup and view all the answers

Which body function can dehydration negatively impact?

<p>Metabolic function (D)</p> Signup and view all the answers

What symptoms may be challenging to differentiate between hypovolemic hyponatremia and dehydration?

<p>Confusion and apathy (D)</p> Signup and view all the answers

What is the most effective way to replace lost electrolytes in times of illness?

<p>Daily food and beverages (B)</p> Signup and view all the answers

What is indicated when a doctor detects abnormal electrolyte levels in a blood test?

<p>Illness or improper fluid regulation (C)</p> Signup and view all the answers

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