Crystalloids and Colloids Flashcards by Megan Pirtle | Brainscape

Q

0.25 NS

A

hypotonic

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Q

0.45 NS

A

Hypotonic

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Q

5% D5W

A

hypotonic

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Q

NS

A

isotonic

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Q

LR

A

isotonic

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Q

D5 0.45 NS

A

hypertonic

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Q

D5NS

A

hypertonic

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Q

Hypertonic saline

A

hypertonic

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Q

hypotonic crystalloids action

A

shifts fluid out of vessels into cells

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Q

what does D5W do X4

A

spares protein

provides calories and free water

treats hyperkalemia

diluent for IV drugs

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Q

hypotonic soln NI’s X4

A

may worsen hypotension

can increase edema

may cause hyponatremia

may irritate veins (D5W)

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Q

isotonic crystalloid action

A

no fluid shift

vascular expansion

electrolyte replacement

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Q

isotonic crystalloid NI’s X6

A

may cause fluid overload

generalized edema

dilutes hgb

may cause hyperchloremic acidosis

may cause electrolyte imbalnces

proinflammatory in large doses

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Q

hypertonic crystalloids action

A

shifts fluid back into circulation

vascular expansion

replaces electrolytes

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Q

hypertonic solns NI’s

A

venous irritant

may cause fluid overload

may cause hypernatremia

may cause hyperchloremia

slows inflammation and increases capillary permeability (5)

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Q

albumin action

A

keeps fluid in vessels

maintains volume

used to replace protein and treat shock

Q

albumin NI’s X2

A

may cause anaphylaxis

may cause fluid overload/pulmonary edema

Q

dextran action

A

shifts fluid into vessels

vascular expansion

prolongs hemodynamic esponse when given with HS

Q

Dextran NI’s X3

A

may cause fluid overload and hypersensitivity

increased risk of bleeding

CI in bleeding disorders, CHF and renal failure

Q

Hetastarch action

A

shifts fluid into vessels

vascular expansion

Q

hetastarch NI’s X3

A

may cause fluid overload and hypersensitivity

increased risk of bleeding

CI in bleeding disorders, CHF and renal failure

Q

mannitol action

A

oliguric diuresis

reduces cerebral edema

eliminates tocins

Q

mannitol NI’s

A

may cause fluid overload

may cause electrolyte imbalances

cellular dehydration

extravasation can cause tissue necrosis