Assessment of learning
1. What is the primary purpose of hypertonic saline administration in severe hypovolaemic shock, such as in a GDV patient?
a) To induce metabolic acidosis b) To achieve fluid resuscitation rapidly c) To decrease vasopressin production d) To promote dehydration of the interstitial space
2. Why is it crucial to monitor patients receiving intravenous fluid therapy for signs of fluid overload?
a) To ensure they gain weight rapidly b) To prevent metabolic acidosis c) To avoid pulmonary oedema and other complications d) To encourage third spacing of fluids
3. In a canine patient with hypovolaemic shock, what might a blood gas analysis reveal, and why is it important to perform this analysis?
a) Elevated blood serum lactate, indicating adequate fluid resuscitation
b) Elevated blood serum lactate, suggesting ongoing shock
c) Increased oxygen supply, indicating metabolic acidosis d) Normal pH, indicating no need for fluid resuscitation
4. During the acute stage of hypovolaemic shock, signals from the sympathetic nervous system will release which hormone?
a) Adrenaline b) Cortisol c) Noradrenaline d) Vasopressin
1. b) To achieve fluid resuscitation rapidly 2. c) To avoid pulmonary oedema and other complications 3. b) Elevated blood serum lactate, suggesting ongoing shock 4. c) Noradrenaline
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Answers
32 Veterinary Nursing Journal