Intravenous Fluid Administration and the Four Ds

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Questions and Answers

Which of the following is NOT one of the four Ds to consider when prescribing intravenous fluids?

  • Determinant (correct)
  • Drug
  • Duration
  • De-escalation

What are the three main indications for intravenous fluid administration?

  • Resuscitation, Replacement, Maintenance (correct)
  • Dilution, Infusion, Excretion
  • Elimination, Absorption, Utilization
  • Prevention, Enhancement, Supplementation

What does tonicity refer to in the context of IV fluids?

  • The taste of the solution
  • The pH of the solution
  • The color of the solution
  • The effect a solution has on cell volume (correct)

Which type of solution has no effect on cell volume?

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

How are IV fluids classified based on their ability to diffuse through body fluid compartments?

<p>As Crystalloids or Colloids (C)</p> Signup and view all the answers

What is the relationship between osmolarity and tonicity?

<p>Tonicity is a type of osmolarity (C)</p> Signup and view all the answers

What is the main difference between Crystalloid and Colloid solutions?

<p>Crystalloid solutions contain small solutes like electrolytes and glucose, while Colloid solutions contain large molecular weight particles. (C)</p> Signup and view all the answers

Which statement about Crystalloids is true?

<p>Crystalloids are usually isotonic solutions. (A)</p> Signup and view all the answers

In which situation is 0.9% Sodium Chloride (Normal Saline) commonly used?

<p>Extracellular fluid replacement in dehydration (B)</p> Signup and view all the answers

What is the primary indication for using Hypertonic 3% saline solution?

<p>Treatment of severe symptomatic hyponatremia (C)</p> Signup and view all the answers

When is 0.45% Sodium Chloride solution best used?

<p>As parenteral maintenance fluid (A)</p> Signup and view all the answers

Who introduced Ringer's solution, and what is its typical use?

<p>Introduced by Sydney Ringer for electrolyte imbalance correction (D)</p> Signup and view all the answers

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