FLUIDS Flashcards
1
Q
When would you give HYPO solution?
A
need fluids in the cells
diabetic ketoacidosis hyperglycemia
DO NOT give with intracranial pressure or burns. will cause brain swelling
2
Q
when would you give a HYPERtonic solution
A
+3 pitting edema
Not used as often
need fluid to leave cells and go back into vascular space
sodium loves water. hyponatremia
cererbral edema
3
Q
when would you give an isotonic solution
A
To increase extracellular fluid /vascular space
Dehydration Blood Loss Surgery Diarrhea to expand blood volume but we do NOT want the solvent to go into the tissues
4
Q
Parenteral Nutrition
A
Central line TPN
Peripheral PPN
5
Q
Symptoms of Fluid volume overload
A
SOB dyspnea pulmonary edema crackles orthopnea increased RR Jugular vein distention JVD peripheral edema increased BP increased HR, bounding pulse weight gain decreased urine output
6
Q
What patient will have an increased chance of Fluid volume overload
A
CHF, use EID to regulate
7
Q
TPN
A
more than 2000 kcal
central line
hypertonic
more than 7 days
8
Q
PPN
A
less than 2000 kcal peripheral vein isotonic short term not complete
9
Q
what to monitor with PPN and TPN
A
I and O daily weight daily labs infection at site expiration
10
Q
how often are IV’s changed
A
90 hours to 5 days
