4th Year Fluids

Question 1

what is the third space?

Answer 1

areas in the body that do not normally contain fluid

Question 2

examples of the third space

Answer 2

peritoneal cavity (ascites)
pleural cavity (pleural effusion)
pericardial activity (pericardial effusion)
joints (joint effusion)

Question 3

types of IV fluids

Answer 3

1. crystalloids

2. colloids

Question 4

examples of crystalloids

Answer 4

0.9% saline
5% dextrose
hartmann’s solution
plasma-lyte 148

Question 5

risks in saline

Answer 5

hypernatraemia

metabolic acidosis

Question 6

example of colloid

Answer 6

human albumin solution

Question 7

isotonic solutions

Answer 7

saline
Hartmann’s
plasma-lyte

Question 8

hypotonic solutions

Answer 8

dextrose

0.18% NaCl

Question 9

hypertonic solutions

Answer 9

3% saline

Question 10

isotonic solution guideline for resuscitation

Answer 10

initial 500ml fluid bolus over 15 minutes (stat), repeat boluses as required, seek expert if not responding

Question 11

what can stat solutions not contain?

Answer 11

potassium so cannot give Hartmann’s or plasma lyte