Surgery (fluids And Electrolytes)

Question 1

Insensible loss (pulmonary and cutaneous is

Answer 1

1700ml

Question 2

Urniary loss is

Answer 2

1500ml

Question 3

Faecal loss is

Answer 3

200ml

Question 4

Daily water loss is

Answer 4

3400ml

Question 5

What ml of water is given to recover water loss

Answer 5

3000ml

Question 6

What volume is generated from endogenous processes such as carbohydrates ,proteins ,lipids

Answer 6

200ml

Question 7

Energy requirement of glucose is

Answer 7

-Glucose 100 g / d

-This can be given as 5% dextrose

Question 8

In post-operative patients the maintenance fluid is given as 5% dextrose for the 1st day because

Answer 8

deranged sodium metabolism ni immediately post operative period

Question 9

Maintenance is increased in what cases

Answer 9

i. Burn

Nasogastric suction
iii. Surgical drain
vi. Tracheostomy
v. Diarrhoea disease
vi. Vomiting
vi. Acute tumour lysis syndrome
vili. Polyuria
ix. Diabetic ketoacidosis
.x Third space fluid accumulation as in
pleural or peritoneal collection
xi. Increased in sensible loss as in fever, excessive sweating

Question 10

patients on maintenance fluid lose

Answer 10

0.5- 1% of body weight because they don’t get enough calories or protein from food

Question 11

How is the fluid loss or fluid therapy

Answer 11

Hourly monitoring of urine out put cause it gives accurate data of fluid perfusion