NAPLEX special populations (crit care, peds,
Questions
transplant, weight loss, CF) Exam
and Answers ()
(Verified Answers)
What do colloids do? - CORRECT answer Colloids are large
molecules that remain in the intravascular space and increase oncotic
pressure
Dextrose containing products have: - CORRECT answer Free water
Used when intracellular water is needed
When does hyponatremia become symptomatic? - CORRECT answer
Usually < 120 mEq/L
Hypotonic hypervolemia - CORRECT answer Fluid overload (fluid
drowning out Na)
Primary treatment is fluid restriction and diuresis
Hypotonic hypovolemia - CORRECT answer Diuretics
Blood loss
Diarrhea
Hypotonic euvolemia - CORRECT answer SIADH
What is the typical Na correction goal? - CORRECT answer 4-8
mEq/L / 24 hours
, Hypernatremia is associated with: - CORRECT answer Water deficit
and hypertonicity
Max infusion of K through peripheral line: - CORRECT answer 10
mEq/hr with concentration of 10 mEq/100 mL
If both hypomagnesemia and hypokalemia are present, what should
be replaced first? - CORRECT answer Magnesium (essential for K
uptake)
IV immunoglobulin - CORRECT answer IgG
Extracted from plasma of thousands of blood donors
IV immunoglobulin uses - CORRECT answer Myasthenia gravis
Guillain-Barré
MS
What conditions need to be watched for with IV IgG treatment? -
CORRECT answer Slower infusion with CV/renal disease
BBW for acute renal disease
Vasopressors - CORRECT answer Vasoconstriction
BBW for all vasopressors - CORRECT answer Vesicants; can cause
extravasation (treat with phentolamine)
EPI MOA - CORRECT answer Alpha-1, alpha-2, beta-2
Can cause hyperglycemia
DA MOA - CORRECT answer Low dose: dopamine-1
Medium dose: beta-1
High dose: alpha-1
Nitroglycerin contraindications - CORRECT answer SBP <90, PDE-5
therapy
When can an infant take IBU? - CORRECT answer > 6 months old
Ibuprofen infant dosing - CORRECT answer 5-10 mg/kg/dose Q6-8H
Questions
transplant, weight loss, CF) Exam
and Answers ()
(Verified Answers)
What do colloids do? - CORRECT answer Colloids are large
molecules that remain in the intravascular space and increase oncotic
pressure
Dextrose containing products have: - CORRECT answer Free water
Used when intracellular water is needed
When does hyponatremia become symptomatic? - CORRECT answer
Usually < 120 mEq/L
Hypotonic hypervolemia - CORRECT answer Fluid overload (fluid
drowning out Na)
Primary treatment is fluid restriction and diuresis
Hypotonic hypovolemia - CORRECT answer Diuretics
Blood loss
Diarrhea
Hypotonic euvolemia - CORRECT answer SIADH
What is the typical Na correction goal? - CORRECT answer 4-8
mEq/L / 24 hours
, Hypernatremia is associated with: - CORRECT answer Water deficit
and hypertonicity
Max infusion of K through peripheral line: - CORRECT answer 10
mEq/hr with concentration of 10 mEq/100 mL
If both hypomagnesemia and hypokalemia are present, what should
be replaced first? - CORRECT answer Magnesium (essential for K
uptake)
IV immunoglobulin - CORRECT answer IgG
Extracted from plasma of thousands of blood donors
IV immunoglobulin uses - CORRECT answer Myasthenia gravis
Guillain-Barré
MS
What conditions need to be watched for with IV IgG treatment? -
CORRECT answer Slower infusion with CV/renal disease
BBW for acute renal disease
Vasopressors - CORRECT answer Vasoconstriction
BBW for all vasopressors - CORRECT answer Vesicants; can cause
extravasation (treat with phentolamine)
EPI MOA - CORRECT answer Alpha-1, alpha-2, beta-2
Can cause hyperglycemia
DA MOA - CORRECT answer Low dose: dopamine-1
Medium dose: beta-1
High dose: alpha-1
Nitroglycerin contraindications - CORRECT answer SBP <90, PDE-5
therapy
When can an infant take IBU? - CORRECT answer > 6 months old
Ibuprofen infant dosing - CORRECT answer 5-10 mg/kg/dose Q6-8H
