Fluids Flashcards
what fluid to give if hyponatremic
Normal saline .9%
what fluid to give when pt is in shock
Normal saline .9%
what fluid to give in patients with diabetic ketoacidosis
Normal saline .9%
What fluid to give for blood transfusions
Normal saline .9%
what fluid to give for resuscitation
Normal saline .9%
what fluid to give in metabolic alkalosis
Normal saline .9%
what fluid to give in hypercalcemia
Normal saline .9%
What fluid increases circulating plasma volume when rbcs are adequate
Normal saline .9%
When not to give NS
in heart failure patients, edema, or hypernatremia bc nss replaces extracellular fluid and can lead to fluid overload
what fluid to give as water replacement
1/2 normal saline .45% NaCl in water
Is normal .9% ns hypotonic, hyper, or isotonic
isotonic
is 1/2 ns hypotonic, hyper, or isotonic
hypotonic
what fluid do you give to raise total fluid voulme
1/2 normal saline .45%
what fluid to give pt before dextrose infusion
1/2 normal saline .45%
what fluid to give pt when there is hypertonic dehydration
1/2 normal saline .45%
what fluid to give when there is sodium and chloride depletion
1/2 normal saline .45%
what fluid to give when there is gastric fluid loss from nasogastric suctioning or vomiting
1/2 normal saline .45%
What patients do you not want to use 1/2 normal saline .45% with
pts w liver disease, trauma, or burns
What fluid is useful for daily maintenance of body fluid
1/2 normal saline .45%
what fluid is helpful for establishing renal function
1/2 normal saline .45%
what fluid replacement for clients who don’t need extra glucose
1/2 normal saline .45%
what are the 3 types of iv fluid
volume resuscitation
maintenance fluid
free water
what fluids do you give for volume resuscitation
lactated ringers or normal saline
what situations do you give volume resuscitation iv?
septic shock and hemorrhagic shock
how to calculate how much maintenance fluids a patient needs
4-2-1 rule
Calculate pt kg
4 cc per first 10 kg, 2 cc per 2nd 10kg, and 1 cc for remaining kg
per hour
