soluciones Flashcards
solutions that contain small molecular weight solutes (e.g., minerals, dextrose)
Crystalloids
solutions that contain larger molecular weight solutes (e.g., albumin and starch)
colloids
crystalloids or colloids that do not significantly alter the homeostasis of the extracellular compartment
Balanced IV fluid solutions
the concentration of dissolved particles per unit mass of solution (mOsm/kg); preferred term to describe the osmotic pressure of biological systems (not temperature-dependent)
osmolality
the concentration of solutes per unit volume of solvent (mOsm/L)
osmolarity
*Takes into account all osmotically active particles, including those that enter cells (e.g., glucose, urea)
the capacity of an extracellular fluid to create an osmotic gradient that will cause water to move into or out of the intracellular compartment; cannot be measured and has no units
Tonicity
hypertonic solutions can make cells —–, while hypotonic solutions can make them —- and —–.
- shrink
- swell and lyse
The osmolarity of a parenteral solution takes into account the ——-, including those that enter cells (e.g., dextrose). The tonicity of a solution is determined by the ——— and are, therefore, osmotically active (e.g., sodium, potassium).
- concentration of all the solutes
- solutes that do not enter the cell
Examples of isotonic crystalloids
- Saline 0.9%
- Lactated Ringer’s
- Hartmann (variante de RL)
Son cristaloides hipotónicos
- Dextrosa
- Solución salina hipotónica
*usar de mantenimiento puede causar hiponatremia y edema cerebral
Son cristaloides hipertónicas
NaCl 3%
NaCl 5%