Fluids

Question 1

what fluid to give if hyponatremic

Answer 1

Normal saline .9%

Question 2

what fluid to give when pt is in shock

Answer 2

Normal saline .9%

Question 3

what fluid to give in patients with diabetic ketoacidosis

Answer 3

Normal saline .9%

Question 4

What fluid to give for blood transfusions

Answer 4

Normal saline .9%

Question 5

what fluid to give for resuscitation

Answer 5

Normal saline .9%

Question 6

what fluid to give in metabolic alkalosis

Answer 6

Normal saline .9%

Question 7

what fluid to give in hypercalcemia

Answer 7

Normal saline .9%

Question 8

What fluid increases circulating plasma volume when rbcs are adequate

Answer 8

Normal saline .9%

Question 9

When not to give NS

Answer 9

in heart failure patients, edema, or hypernatremia bc nss replaces extracellular fluid and can lead to fluid overload

Question 10

what fluid to give as water replacement

Answer 10

1/2 normal saline .45% NaCl in water

Question 11

Is normal .9% ns hypotonic, hyper, or isotonic

Answer 11

isotonic

Question 12

is 1/2 ns hypotonic, hyper, or isotonic

Answer 12

hypotonic

Question 13

what fluid do you give to raise total fluid voulme

Answer 13

1/2 normal saline .45%

Question 14

what fluid to give pt before dextrose infusion

Answer 14

1/2 normal saline .45%

Question 15

what fluid to give pt when there is hypertonic dehydration

Answer 15

1/2 normal saline .45%

Question 16

what fluid to give when there is sodium and chloride depletion

Answer 16

1/2 normal saline .45%

Question 17

what fluid to give when there is gastric fluid loss from nasogastric suctioning or vomiting

Answer 17

1/2 normal saline .45%

Question 18

What patients do you not want to use 1/2 normal saline .45% with

Answer 18

pts w liver disease, trauma, or burns

Question 19

What fluid is useful for daily maintenance of body fluid

Answer 19

1/2 normal saline .45%

Question 20

what fluid is helpful for establishing renal function

Answer 20

1/2 normal saline .45%

Question 21

what fluid replacement for clients who don’t need extra glucose

Answer 21

1/2 normal saline .45%

Question 22

what are the 3 types of iv fluid

Answer 22

volume resuscitation
maintenance fluid
free water

Question 23

what fluids do you give for volume resuscitation

Answer 23

lactated ringers or normal saline

Question 24

what situations do you give volume resuscitation iv?

Answer 24

septic shock and hemorrhagic shock

Question 25

how to calculate how much maintenance fluids a patient needs

Answer 25

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