IVF Options

Question 1

What options are available for IVF?

Answer 1

Sterile H20
D5W
1/2 NS
Normal Saline
3% Saline

Question 2

When do you use sterile H20?

Answer 2

Never

hypotonic

Question 3

When do you use D5W?

Answer 3

Patient is hypernatremic

Question 4

When do you use Normal Saline?

Answer 4

Patient is hypovolemic

Question 5

When do you use 3% saline?

Answer 5

Patient has severe symptomatic hyponatremia

Question 6

When do you use 1/2 saline?

Answer 6

Patient is making dilute urine, can’t concentrate urine

Question 7

What can you add for patients who are hypokalemic?

Answer 7

KCl

Question 8

When would you add bicarbonate?

Answer 8

Patient has a metabolic acidosis and is unlikely to make bicarb

Question 9

What is D5W?

Answer 9

5% dextrose in water

hypotonic but isoosmotic

Question 10

What is 1/2 NS?

Answer 10

0.45% NaCl

Na+ = 77 mEq/L

Hypotonic

Question 11

What is normal saline?

Answer 11

0.9% NaCl

Na+ = 154 mEq/L

Isotonic

Question 12

What is 3% saline?

Answer 12

….3% NaCl….

514 mEq/L

Hypertonic

Question 13

When would you use hypotonic fluid?

Answer 13

Patients with hypernatremia or tendency to lose water

Question 14

What would you use for a euvolemic patient having surgery?

Answer 14

Isotonic fluid - normal saline