Anatomy and Physiology of Body Fluids
Identify the percent total body water in an average adult
Bonus information:
This population typically has MORE body water
This population typically has LESS body water
What is 50-60%
More body water-- Infants
Less body water-- females
This cation plays a significant role in cardiac repolarization and slight derangements in it can send anesthesia running
What is POTASSIUM (K+)
This is a very common cause of anion gap metabolic acidosis in surgery
What is lactic acidosis
These are the two main sources of intraoperative fluid losses
What are blood loss and evaporative (insensible) fluid losses
He is the father of neuro surgery in America
Who is Harvey Cushing
(Cushing's Disease)
Name the principal ions encountered in extracellular and intracellular fluid compartments
What is SODIUM for extracellular and POTASSIUM for intracellular
This is the mnemonic that helps us all remember how to manage hyperkalemia
What is
C BIG K
(Extra points, what are the components of the mnemonic)
(Extra extra points, how do the components play a role in managing hyperkalemia)
This is a common cause of non-anion gap acidosis
What is high volume lower GI losses
Third spacing is a phenomenon that is caused by what physiologic response to the systemic inflammatory responses associated with surgery
What is increased capillary permeability (may persist for 24+ hours)
He is considered the father of transplant surgery in America
(extra points, it was performed in this state)
Who is Thomas Starzl?
Where is Colorado (at the Denver VA)
This fluid maintenance rule guides MAINTENANCE intravenous fluid adminisitration
What is the 4-2-1 Rule
(4mL/kg/h for first 10 kilograms; 2mL/kg/h for second 10 kilograms; 1mL/kg/h every other kg above 20)
Magnesium is a powerful team player and often needs to be replaced first to adequately replace these two other cations
What are CALCIUM and POTASSIUM
This process, though not what would be expected, can occur in patients who experience metabolic alkalosis
What is paradoxical aciduria
These are potential post operative sources of ONGOING fluid losses
What are stomas, drains, tubes, fistulas
This animal was the first one in which parathyroid glands were identified by Sir Richard Owen in the 19th century
What is the Rhinoceros
What is
Sodium 154 mEq/L
Chloride 154 mEq/L
If you correct sodium faster than _______, you may cause this syndrome in the hyponatremic patient
What is central pontine myelinosis
Correction level is <0.5mEq/L/hr
These maneuvers can treat a respiratory acidosis
What are increasing respiratory rate and tidal volumes
These are three common goal endpoints of fluid repletion and resuscitation
What are urine output (0.5cc/kg/hr), MAP >65, HR <100
Name one of the three movies to have won 11 Oscars (most ever nominated and won)
What are
Ben-Hur
Titanic
The Lord of the Rings: The Return of the King
This is the composition of Lactated Ringers solution
What is
Sodium 130 mEq/L
Chloride 109 mEq/L
Potassium 4 mEq/L
Calcium 3 mEq/L
Lactate 28 mEq/L
(pH 6.75)
This equation calculates the free water deficit which ultimately helps treat this derangement
What is
FWD = Total body weight (TBW) x [(Na+/140)-1]
Indicates volume of pure water the body has lost and help treat HYPERNATREMIA
This is the pH levels for normal saline and Ringer's Lactate
What are 5.50 and 6.75
Sometimes, it is better to be lucky than good
Congrats, earn 500 points
This famous icon's original name was Gary Weinrib
Who is Geddy Lee (lead singer and bass guitarist for Rush)