IV fluids

Question 1

what is the first thing to ask when thinking about Iv?

Answer 1

volume problem or water problem

Question 2

Where does NS go? where does D5W go?

Answer 2

extracellular

Intracellular and extracellular (mostly into cells)

Question 3

What is the treatment for hypervolemia?

Answer 3

give loop, sodium restrict, no water restriction

Question 4

What is the treatment for hypovolemia?

Answer 4

Give NS

Question 5

What is the treatment for hypernatremia?

Answer 5

D5W

Question 6

What is the treatment for hyponatremia?

Answer 6

hypertonic saline and water restriction

Question 7

What is maintence fluid for NPO pre surgery

Answer 7

D5 1/2NS 20meqK

Question 8

how much do you give in simple hypovolemia?

Answer 8

1-2 L NS

Question 9

how much do you give in hypernatremia?

Answer 9

calculate free water deficit .6xweightx (Na-ideal/ideal)
do not correct more than 10 in 24 hours.

take the deficit and divide by 24

Question 10

how much maintenance fluids are given?

Answer 10

1st 10kg= 4cc/hr/kg
2nd 10kg= 2cc/hr/kg
ater 20kg= 1cc/hr/kg

Question 11

plan for treating hypovolemia and hypernatremia?

Answer 11

calculate free water deficit and give isotonic to fill in the water deficit.

2L NS + 4L deficit = 1/3 NS 6000cc/24