Electrolyte Replacement Therapies in Gastrointestinal Fluid Loss

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Questions and Answers

What type of solutions are more effective than glucose or water in replacing stool losses?

  • Hypotonic oral hydration solutions (correct)
  • Water
  • Plain glucose solutions
  • IV therapy

What is the more practical approach for most patients outside of the developing world to replenish electrolytes?

  • IV therapy
  • Glucose solutions
  • Consuming a mixed diet and increasing sodium and potassium intake (correct)
  • Adding table salt to beverages

What complication may arise in patients with excessive fluid retention due to excessive fluid intake?

  • Dehydration
  • Hypokalemia
  • Dilutional hyponatremia with hypoosmolality (correct)
  • Hyperosmolality

In what context has adding table salt to beverages been suggested despite being unpalatable?

<p>For severe sodium depletion (B)</p> Signup and view all the answers

Which type of patients may develop dilutional hyponatremia with hypoosmolality due to excessive fluid retention?

<p>Schizophrenic patients with psychogenic polydipsia (A)</p> Signup and view all the answers

What was demonstrated to reduce stool volume and duration of diarrhea to a greater extent during the cholera epidemic in Bangladesh?

<p>Hypotonic oral hydration solution (A)</p> Signup and view all the answers

What is the condition that can occur in mountaineers or endurance athletes who attempt to maximize fluid intake while minimizing weight?

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

Which electrolyte supplement is not suitable for rapid replacement of large deficits?

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

Which IV solution is used to expand the ECF volume?

<p>0.9% NaCl (C)</p> Signup and view all the answers

What is the recommended dietary intake of carbohydrates during dietary modifications?

<p>3-4g per kg of body weight (D)</p> Signup and view all the answers

Which electrolyte solution is not suitable for fluid and electrolyte replacement in infants and young children?

<p>Commercial glucose-electrolyte beverages (C)</p> Signup and view all the answers

What is the role of mineralocorticoid therapy in psychogenic polydipsia?

<p>Increases urinary sodium and decreases urine volume (D)</p> Signup and view all the answers

What is the recommended dietary intake of protein during dietary modifications?

<p>1.5-2g per kg of body weight (D)</p> Signup and view all the answers

Which IV solution is used to draw fluid out of the cells and into the ECF?

<p>3% NaCl (D)</p> Signup and view all the answers

What is the recommended type of diet during dietary modifications?

<p>High-carbohydrate, high-protein, low-fat (B)</p> Signup and view all the answers

What is the role of intravenous therapy in treating dehydration due to acute diarrhea?

<p>It is as effective as oral rehydration therapy (C)</p> Signup and view all the answers

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