Fluid, Electrolyte, and Acid-Base Balance Quiz
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Questions and Answers

When serum Na levels are increased to above 145 mmol/L, it leads to the movement of fluid from cells out into the extracellular fluid, causing:

  • Hyperkalemia
  • Hypernatremia (correct)
  • Hypomagnesemia
  • Hypokalemia
  • Which process involves the movement of solvents through a semi-permeable membrane from a region of lower solute concentration to higher solute concentration?

  • Facilitated diffusion
  • Diffusion
  • Active transport
  • Osmosis (correct)
  • Inappropriate administration of which solution can lead to increased serum Na levels?

  • Hypotonic saline solution
  • Isotonic saline solution
  • Hypertonic saline solution (correct)
  • Glucose solution
  • What is a common cause of dehydration in the elderly?

    <p>Decreased thirst center (D)</p> Signup and view all the answers

    Which hormone oversecretion can lead to increased sodium retention?

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

    What is the main treatment for hyponatremia?

    <p>Give isotonic sodium-free fluid (5% dextrose in water) until the serum sodium level returns to normal (A)</p> Signup and view all the answers

    Which of the following can cause increased sodium retention?

    <p>Oversecretion of aldosterone (C)</p> Signup and view all the answers

    What are the common signs and symptoms of hypernatremia?

    <p>Thirst, dry mucous membranes, and lethargy (A)</p> Signup and view all the answers

    What can cause hypokalaemia?

    <p>Cell damage and hypoxia resulting in the release of potassium from inside the cell to the extracellular fluid (B)</p> Signup and view all the answers

    What is the main treatment for severe hyperkalaemia?

    <p>Elevated K+ may be fatal so urgent correction is necessary. Management of underlying cause. (B)</p> Signup and view all the answers

    What are the causes of hyponatraemia?

    <p>Vomiting or diarrhoea or excessive sweating (C)</p> Signup and view all the answers

    What is the effect of sodium depletion on cells?

    <p>Alters the cell’s ability to depolarise and repolarise normally which affects neuronal and muscular action potentials (B)</p> Signup and view all the answers

    What is a potential consequence of administering fluid replacement too quickly for hyponatraemia?

    <p>Cerebral oedema or death (B)</p> Signup and view all the answers

    What are the symptoms of mild hyperkalaemia?

    <p>Restlessness, intestinal cramping, and diarrhea (B)</p> Signup and view all the answers

    What are the common signs and symptoms of hypokalaemia?

    <p>Muscle twitching, tremors hyperreflexia (B)</p> Signup and view all the answers

    Flashcards

    Hypernatremia

    A condition where serum sodium levels exceed 145 mmol/L, causing fluid movement out of cells.

    Osmosis

    The movement of solvents through a semi-permeable membrane from lower to higher solute concentration.

    Hypertonic saline solution

    A solution that can lead to increased serum sodium levels when administered inappropriately.

    Decreased thirst center

    A common cause of dehydration in the elderly due to reduced thirst sensation.

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    Cortisol

    A hormone whose oversecretion can lead to increased sodium retention in the body.

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    Isotonic sodium-free fluid

    Main treatment for hyponatremia, often 5% dextrose in water to restore sodium levels.

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    Aldosterone

    A hormone that, when oversecreted, can lead to increased sodium retention in the body.

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    Signs of hypernatremia

    Common symptoms include thirst, dry mucous membranes, and lethargy.

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    Hypokalaemia causes

    Can occur due to cell damage and hypoxia releasing potassium into extracellular fluid.

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    Severe hyperkalaemia treatment

    Requires urgent correction due to potentially fatal elevated K+ levels; manage underlying causes.

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    Causes of hyponatraemia

    Can arise from vomiting, diarrhoea, or excessive sweating, leading to sodium loss.

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    Sodium depletion effects

    Affects cell depolarization and repolarization, impacting neuronal and muscular functions.

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    Cerebral oedema risk

    Potential consequence of rapid fluid replacement during treatment of hyponatraemia, can be fatal.

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    Symptoms of mild hyperkalaemia

    Include restlessness, intestinal cramping, and diarrhea due to high potassium levels.

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    Symptoms of hypokalaemia

    Common signs are muscle twitching, tremors, and hyperreflexia due to low potassium.

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