Fluids

Question 1

which fluid do you give for fluid volume deficit

Answer 1

Isotonic. NS, Lactated Ringers, and rarely D5W.

Question 2

what kind of fluid is water

Answer 2

hypotonic

Question 3

what electrolyte levels decrease in fluid volume excess

Answer 3

sodium

Question 4

treatment for fluid volume excess

Answer 4

diuretics, fluid restriction, sodium restricted diet, monitor K

Question 5

have an osmolality close to extracellular fluids. Do not cause RBC to swell or shrink. INdicated for intravascular dehydration

Answer 5

Isotonic solution

Question 6

Isotonic solutions

Answer 6

NS, Lactated ringers, D5W (some classify as Hypotonic)

Question 7

have an osmolality lower than extracellular fluid. Causes fluid to move from extracellular to intracellular space.

Answer 7

hypotonic solution

Question 8

indicated for cellular dehydration

Answer 8

hypotonic solution

Question 9

hypotonic solutions

Answer 9

0.5% NS, 0.33% NS, 2.5% dextrose in 0.45% saline

Question 10

Not used for patients with risk of ICP, not commonly seen, for prolonged dehydration and TPN

Answer 10

hypotonic solutions

Question 11

osmolality higher than extracellular fluid. indicated for intravascular dehydration with interstitial or cellular overhydration

Answer 11

hypertonic solution

Question 12

use with extreme caution. are used with serum osmolality is dangerously low

Answer 12

hypertonic solution

Question 13

high concentration of dextrose is given for

Answer 13

caloric replacement (TPN, PPN)

Question 14

hypertonic solutions

Answer 14

5% dextrose in LR (D5WLR), 5% Dextrose in 0.45% saline (D5 and NS), 5% dextrose in 0.9% saline (D5NS)

Question 15

treat intravascular dehydration with cellular or interstitial over hydration. Treat post operative dehydration from blood loss. Ascitis. 3rd spacing

Answer 15

hypertonic solution

Question 16

avoid this solution with client with kidney or HF

Answer 16

hypertonic solution