University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2022
Views:

378

Pages:

1
Author:

Hallie Randolph

Type Isotonic Isotonic Isotonic Solution Dextrose 5% in water (D5W) 0.9% sodium chloride (Normal Saline) (NaCl) Lactated Ringer’s (LR) • • • • • • • • • • • • • • Hypotonic 0.45% sodium chloride (1/2 normal saline) • • • Hypertonic Dextrose 5% in ½ normal saline • Hypertonic Dextrose 5% in normal saline Hypertonic Dextrose 10% in water • • • • Intravenous Fluid Comparison Uses Special Considerations Fluid loss • Use cautiously in renal and cardiac patients Dehydration • Can cause fluid overload Hypernatremia Shock • Can lead to overload Hyponatremia • Use with caution in patients with heart failure or Blood transfusions edema Resuscitation Fluid challenges DKA Dehydration • Contains potassium, don’t use with renal failure patients Burns • Don’t use with liver disease, can’t metabolize lactate Lower GI fluid loss Acute blood loss Hypovolemia due to third spacing Water replacement • Use with caution DKA • May cause cardiovascular collapse or increased intracranial pressure Gastric fluid loss • Don’t use with liver disease, trauma, or burns from NG or vomiting Later in DKA • Use only when blood sugar falls below 250 mg/dL treatment Temporary treatment • Don’t use n cardiac or renal patients for shock if plasma expanders aren’t available Addison’s crisis Water replacement • Monitor blood sugar levels Conditions where some nutrition with glucose is required