Isotonic, hypotonic, and hypertonic

Question 1

isotonic fluids (4)

Answer 1

0.9% NS, 5% dextrose in water (D5W), 5% dextrose in 0.225 saline, LR

Question 2

after dextrose is absorbed in D5W, it goes from isotonic to

Answer 2

hypotonic

Question 3

why are isotonic solutions used

Answer 3

blood loss, dehydration, surgery (blood loss).

Question 4

given when cell needs to be enlarged. blood volume less than 275

Answer 4

hypotonic

Question 5

given when blood plasma is between 275-295

Answer 5

isotonic solution

Question 6

side effect of hypotonic solutions

Answer 6

cause cell lysis. deplete circulatory system fluid because it went into the cell

Question 7

hypotonic solutions (3)

Answer 7

0.45% saline (1/2 NS), 0.225% saline (1/4 NS), 0.33% saline (1/3 NS)

Question 8

which conditions would you use hypotonic fluids because cell is dehydrated

Answer 8

DKA, hyperglycemia

Question 9

when do you NEVEr give hypotonic solution

Answer 9

increased cranial pressure. will shift fluid into the brain tissue and cause swelling. Also, burns and trauma

Question 10

given when cell needs to be shrunk Blood plasma greater than 295

Answer 10

hypertonic solution

Question 11

too much of this solution can cause backup of ECF casing fluid overload (pulmonary edema)

Answer 11

hypertonic solution

Question 12

when giving hypertonic solution the cell is going to

Answer 12

shrink

Question 13

hypertonic solutions (6)

Answer 13

3 % saline, 5% saline, 10% dextrose in water, 5% dextrose in 0.9 NS, 5% destrose in 1/2 NS, 5% dextrose in LR

Question 14

hypertonic solutions treats

Answer 14

hyponatremia (pulls sodium back into intravascular system), cerebral edema to decrease swelling in brain

Question 15

which solution is usually give in ICU where continuous monitoring can happen and via central line because it can cause phlebitis

Answer 15

hypertonic