219 Inns and outs of intravenous fluids 7 Nurses and prescribers Nurses 7. No right or wrong, preferred answer is bold: A patient with keep-the-vein-open infusion has NPO status since midnight because of a planned surgery or medical examination. What do you think it is the best intervention? Do not change the infusion rate Increase the infusion rate to prevent dehydration Stop the infusion to prevent decompensation Give a glass of water up to 2 hours before the operation/medical examination Part 2 - Knowledge questions Questions for all participants 1. What is NOT an indication for intravenous fluid(s) therapy? Preoperation intravenous fluid therapy of 21 ml/h with a eGFR of 90 (Normal > 90) Dehydration after losing 2 liters of blood peri-operatively Patient who switched from normal diet to NPO (nil-by-mouth) 7. The physician asks you to get glucose for a patient with severe hypoglycemia; you see glucose 5%, 10% and 20%, which one do you take? 5% glucose solution 10% glucose solution 20% glucose solution 2. What IS an indication for intravenous fluid(s) therapy? When intravenous antibiotics are prescribed When intravenous fluid(s) therapy is giving to keep-the-vein-open When a patient has a negative fluid balance on account of prolonged vomiting 8. Which action suits best for a patient who is responsive and allowed to eat and drink normally, with a hypokalemia of 2.8? Potassium drink, if the patient is able to drink Start with a potassium infusion in combination with sodium chloride 0.9% solution Start with lactated Ringer’s solution 3. What are symptoms of decompensation? Feeling weak, cramps, dizziness, low blood pressure Shortness of breath, edema, high blood pressure, decreased appetite Shortness of breath, sweatiness, low blood pressure 9. The daily reference intake of salt is 6 grams per day. For cardiac patients and patients witch renal failure on a low-sodium diet, the reference intake is lower. How much salt contains 1 liter of sodium chloride 0.9%? 0.9 grams 9 grams 9 milligrams 4. What complications may occur when administering intravenous fluid(s) therapy? Fever, decompensation, shortness of breath Dizziness, skin tear, coughing Dehydration, coughing, shortness of breath 10. What are possible symptoms of hypernatremia Diarrhea, dyspnea, white skin color Thirst, confusion, neurological deficit, nausea Loss of appetite, losing weight, lethargy
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