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FCCN Level 1 Exam New Questions And Answers Graded (A+)
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FCCN Level 1 Exam New 2023-2024 Questions AndAnswers Graded (A+)
Quiz :minimum urine output for adult - Answer :0.5mL/kg/hr
Quiz :ADH (antidiuretic hormone) - Answer :- water retainer
- vasoconstrictor (also called Vasopressin)
- produced by hypothalamus
- store and released from posterior pituitary
Quiz :ADH pathway - Answer :- hypothalamus senses low blood volumed and
increased serum osmolality
- signal pituitary to release ADH
- ADH causes kidney to retain water
- water retention increases blood volume and decreases serum osmolality
Quiz :ANP (atrial natriuretic peptide) - Answer :- cardiac hormone stored in atria
- released when atrial pressure increases
*works opposite of RAAS by decreasing BP and reducing intravascular volume
- important diagnostic marker in CHF
Quiz :hydrostatic pressure - Answer :- forces fluids and solutes through the
capillary wall and into the tissue spaces
Quiz :colloid osmotic pressure - Answer :- pulling force of albumin in the
intravascular spaces
- pull fluid into vasculature
Quiz :maintenance fluid therapy - Answer :- replaces normal ongoing losses of
water and electrolytes (urine, sweat, respiration, stool)
,Quiz :replacement therapy - Answer :- corrects any existing water and or
electrolyte deficits
Quiz :isotonic fluids - Answer :- tonicity equal to plasma in the body
- no fluid shifts because the solutions are equally concentrated
- LR
- NS
- D5W
Quiz :hypotonic fluids - Answer :- lower concentration of solutes in the
vasculature than in the cell
- fluid shifts into the cell to dilute the electrolytes (CELL SWELLS)
- 0.45NS
Quiz :hypertonic fluid - Answer :- higher concentration of solutes in the
vasculature than in the cell
- pulls fluid out of cells and into the vessels (CELL SHRINKS)
- D5 .45NS
- D5NS
- D5LR
- 3%, 7%, 23.4% NaCl
Quiz :colloids - Answer :- pull fluid into bloodstream
Albumin
- 5% is osmotically equal to plasma
- 25% draws 4 times the normal volume into the circulation
Quiz :blood - Answer :- not a risk free fluid replacement
- this is liquid transplant
Quiz :third spacing - Answer :- fluid is not lost from the body but the fluid is not
available for use in the intracellular or extracellular compartments (fluid is in
between tissues/cells)
, - this patient is intravascularly dry and still needs more fluid
-
Quiz :can you give platelets through the ranger - Answer :- no it will aggreggate
the platelets
Quiz :hyponatremia - Answer :- less than 135 -145
- weakness
- abdominal cramping/leg cramps
- dizzy
- change in LOC
- seizures
Quiz :different ways to treat hyponatremia - Answer :- hypovolemic (give IV
fluid)
- euvolemic (fluid restriction)
- hypervolemic (diuretic)
Quiz :severe hyponatremia - Answer :- EMERGENCY
- below 115
- give hypertonic saline if patient is symptomatic
- in ICU setting
*infused slowly in small amounts....be prepared to handle seizures*
Quiz :hypokalemia ECG changes - Answer :- prolonged QT
- ST depression
*U WAVE is hallmark sign*
if you see a U wave then YOU need K+
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