Fluids
Anaesthesiology · Topic 9
Source: NMC CBME Curriculum 2024 · Volume III · Anaesthesiology · Topic 9 · combined PDF page 455
Practice questions
- In an adult critically ill patient who needs volume expansion, which fluid class is conditionally favored over albumin by the ESICM guideline?
- A perioperative adult patient requires intravascular volume expansion. Which choice is conditionally favored over albumin by the ESICM fluid-choice guideline?
- A critically ill adult is considered at risk for bleeding and requires volume expansion. According to the ESICM guideline, which fluid is conditionally favored over albumin?
- For volume expansion in an adult with sepsis, which fluid does the ESICM guideline conditionally favor?
- An adult with acute respiratory failure requires volume expansion. Which fluid does the ESICM guideline conditionally favor over albumin?
- Which fluid is conditionally favored for volume expansion in a critically ill patient with cirrhosis?
- For volume expansion in traumatic brain injury, which fluid is conditionally favored over albumin in the ESICM guideline?
- For volume expansion in critically ill adults generally, which crystalloid type is conditionally favored over isotonic saline by the ESICM guideline?
- An adult with sepsis requires crystalloid volume expansion. Which crystalloid type is conditionally favored by the ESICM guideline?
- In a critically ill patient with kidney injury who needs crystalloid volume expansion, which option is conditionally favored?
- A patient with traumatic brain injury needs crystalloid volume expansion. Which choice is conditionally favored over balanced crystalloids?
- For volume expansion in critically ill adults generally, which is conditionally favored: isotonic crystalloid or small-volume hypertonic crystalloid?
- For adults with sepsis or septic shock, what initial crystalloid volume does the ESICM guideline suggest administering in the initial phase?
- A patient with septic shock has received initial crystalloid resuscitation. Which principle should guide further fluid administration in the initial phase?
- During the optimization phase of fluid therapy for an adult with sepsis, which approach is suggested by the ESICM guideline?
- Which statement best reflects the ESICM guideline on restrictive versus liberal fluid strategies during the optimization phase in sepsis?
- An adult has hemorrhagic shock following blunt trauma. Which fluid strategy does the ESICM guideline suggest?
- An adult develops hemorrhagic shock after penetrating trauma. Which strategy is suggested by the ESICM guideline?
- For non-traumatic hemorrhagic shock, what should guide fluid administration according to the ESICM guideline?
- A patient has circulatory failure due to left-sided cardiogenic shock. Which statement best reflects the ESICM guideline on fluid resuscitation?
- In cardiac tamponade with circulatory failure, how should fluids be used according to the ESICM guideline?
- An adult with acute pulmonary embolism has circulatory failure and is being considered for fluid administration. Which guide does the ESICM guideline specify?
- Which statement best describes the ESICM guideline position on fluid therapy for circulatory failure associated with acute respiratory distress syndrome (ARDS)?
- A cardiac surgery team proposes perioperative albumin specifically to prevent acute kidney injury after on-pump surgery. What conclusion is best supported by the randomized-trial meta-analysis?
- In a meta-analysis of albumin-containing versus other perioperative fluid regimens in adults undergoing on-pump cardiac surgery, the pooled risk ratio for acute kidney injury was 1.09 with a 95% credible interval of 0.86–1.34. Which interpretation is most appropriate?
- The cardiac-surgery albumin meta-analysis reported no significant differences in secondary outcomes. Which statement is consistent with that finding?