2 IV fluids Flashcards
10% dextrose in water trade name
D10W
10% dextrose in water class
hypertonic sugar solution
10% dextrose in water description
replace blood glucos
10% dextrose in water onset
n/a
10% dextrose in water duration
n/a
10% dextrose in water indications
hypoglycemia
neonatal resuscitation
rarely used as an iv infusion, rather as a bolus
10% dextrose in water contraindications
not used as a fluid replacement for hypovolemic states
avoid in head injury and strokes
10% dextrose in water adverse reactions
rare
10% dextrose in water adult dose
dependent on patient’s condition and condition being treated
10% dextrose in water special considerations
n/a
5% dextrose in water trade name
D5W
5% dextrose in water class
sugar solution
5% dextrose in water description
glucose nutrient solution
5% dextrose in water onset
n/a
5% dextrose in water duration
n/a
5% dextrose in water indications
IV access for emergency drugs; for dilution of concentrated drugs for IV infusion
5% dextrose in water contraindications
should not be used as a fluid replacement for hypovolemic states
5% dextrose in water adverse reactions
rare
5% dextrose in water adult dose
generally administered TKO
5% dextrose in water special considerations
n/a
lactated ringers trade name
n/a
lactated ringers class
isotonic crystalloid
lactated ringers description
approximates the electrolyte concentration of the blood
lactated ringers onset
n/a
lactated ringers duration
n/a
lactated ringers indications
hypovolemic shock, rehydration
lactated ringers contraindications
PE, CHF, renal failure
lactated ringers adverse reactions
allergic reaction, swelling of the face, eyes, throat, itching, hives, anaphylaxix
lactated ringers adult dose
10-20 mL/kg IV/IOl
lactated ringers special considerations
n/a
normal saline trade name
0.9% sodium chloride solution
normal saline class
isotonic volume expander, electrolyte replacement
normal saline description
maintains the acid base balance and isotonicity of the cells
normal saline onset
n/a
normal saline duration
n/a
normal saline indications
source of water and electrolytes
normal saline contraindications
CHF, severe renal insufficency
normal saline adverse reactions
thirst
normal saline adult dose
10-20mL/kg IV/IO
normal saline special considerations
n/a
tranexamic acid trade name
TXA, cyklokapron, lysteda
tranexamic acid class
antifibrinolytic agent; hemostatic agent
tranexamic acid description
disrupts the cycle of clot formation and breakdown during bleeding episode.
tranexamic acid onset
unknown
tranexamic acid duration
7-8 hours
tranexamic acid indications
trauma, hemorrhage following surgery or dental procedures, excessive menstrual bleeding
tranexamic acid contraindications
hypersensitivity, thromboembolic disorders (prior or current), certain vision disorders
tranexamic acid adverse reactions
seizures, headache, visual changes, hypotension, thromboembolism, thrombus
tranexamic acid adult dose
10 mg/kg
tranexamic acid special considerations
pregnancy safety category B
