IV Solutions Flashcards
Phlebitis
inflammation of veins
Infiltration
Absent backflow of blood/fluid leaks out
Extravasation
vesicant solution (medication) is administered and leaks into surrounding tissue
Short peripheral catheters
dorsal surface of hands/forearm
In emergencies, place in neck
Avoid lower extremities
Midline catheters
vein of upper arm
Isotonic Solution / Uses / Precautions
equal
270-300
Burns
Hemorrhage
Surgery
Dehydration
➥ Vomiting & diarrhea
risk for fluid overload, especially in older adults
Hypotonic Solution / Uses
into the cell to make it swell
• Intracellular dehydration such as DKA
• Never give to clients with burns
or liver disease
• Helps kidneys excrete excess fluids
give to pts who is HYPERGLACIMA
Hypertonic Solution / Uses / Precautions
cells shrink
• Cerebral Edema
• Low levels of sodium (hyponatremia)
• Metabolic alkalosis
• Maintenance fluid
• Hypovolemia
cautious of causing hypervolemia
Isotonic Fluid Types
used with blood products
0.9% saline (NS)
Lactated Ringers (LR)
5% dextrose (D5W)
Hypotonic Precautions
Leads to intravascular fluid depletion
Decreased blood pressure
Cellular edema
Hypotonic Solutions
0.45% NS
2.5% Dextrose
0.33% NS
Hypertonic Solutions
5% dextrose in 0.9% saline (D5NS)
5% dextrose in 0.45% saline
5% dextrose in LR