Hypotonic Solutions

Question 1

Do hypotonic solutions have a higher or lower osmolality compared to the blood

Answer 1

Lower than blood

Question 2

Hypotonic solutions cause cells to ______

Answer 2

Swell

Question 3

How do they cause cells to swell

Answer 3

Causes movement of water into the interstitial spaces & cells

Question 4

Hypotonic solutions can cause a depletion of

Answer 4

BP

Question 5

What are the 4 examples of hypotonic solutions

Answer 5

0.45% (1/2 NS)
0.33% (1/3 NS)
0.225% (1/4 NS)
D2.5W

Question 6

Give hypotonic slow because it can cause _____ shifts

Answer 6

Fluid

Question 7

Do not give to pts that are at risk for (6)

Answer 7

ICP
CVA
Head trauma
Burns
Malnutrition
Liver disease

Question 8

Why should we not give hypotonic fluids to I P, CVA, head trauma, burns, malnutrition, &/or liver disease pts (3)

Answer 8

It can worsen hypotension
Cause cellular edema
Intravascular fluid depletion

Question 9

What sign should we watch for when giving hypotonic fluids

Answer 9

Decreased loc