Quickie IV Fluid Lecture Flashcards
Where does an Isotonic Solution go?
Goes into the vascular space and stays there!
Give 4 examples of an Isotonic Solution.
1. NS
2. LR
3. D5W
4. D5 1/4NS
When is an Isotonic Solution used?
When a client has lost fluids through:
- Nausea
- Vomiting
- Burns
- Sweating
- Trauma
*Normal Saline is the BASIC SOLUTION when administering blood.
When should you NOT USE isotonic solutions?
In clients with:
- Hypertension
- Cardiac disease
- Renal disease
It can cause:
- FVE
- Hypertension, or
- Hypernatremia
*Hypernatremia is an alert only when administering isotonic solutions that contain SODIUM.
What’s another word for Isotonic Solution?
Balanced Solution
Where does a Hypotonic Solution go?
It goes into the vascular space and then shifts out into the cells to replace cellular fluid.
Do they rehydrate?
Yes, they rehydrate but do not cause hypertension.
Give examples of Hypotonic Solutions.
1. D2.5W
2. 0.5% NS
3. 0.33% NS
Give uses for a Hypotonic Solution.
A client who has:
1. Hypertension
2. Renal Disease
3. Cardiac Disease
4. Or needs Fluid Replacement because of
- nausea
- vomiting
- burns
- hemorrhage
5. Dilution - when client has hypernatremia and for cellular dehydration
What’s the alert for a Hypotonic Solution?
Watch for CELLULAR EDEMA because this fluid is moving out to the cells, which could lead to FLUID VOLUME DEFICIT and DECREASED BLOOD PRESSURE.
Define Hypertonic Solutions.
Packed with Particles! Volume expanders that will draw fluid into the VASCULAR SPACE from the CELL.
Give examples of Hypertonic Solutions.
1. D10W
2. 3% NS
3. 5% NS
4. D5LR
5. D51/2NS
6. D5NS
7. TPN
8. Albumin
Give uses of Hypertonic Solutions.
For the client with:
1. Hyponatremia
2. Or a client who has shifted large amounts of vascular volume to a 3rd space; Or has
3. Severe Edema
4. Burns
5. Ascites
Where will a hypertonic solution return fluid volume?
A hypertonic solution will return the fluid volume to the VASCULAR SPACE.
What are the alerts for Hypertonic Solutions?
Watch for FLUID VOLUME EXCESS! MONITOR in an ICU setting with frequent monitoring of BLOOD PRESSURE, PULSE, and CVP. Especially if they’re receiving 3%NS or 5%NS.
