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Fluids and Electrolytes


Fluids and Electrolytes NU111

Marketplace > Kaplan University > NURSING > NU111 > Fluids and Electrolytes
Kaplan University
GPA 3.75

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Fluid and Electrolyte table - IVs Type, osmolarity, description, use, and warnings included
Medical-Surgical I
Class Notes
fluid, rehydration, IV, intravenous, Therapy
25 ?




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This 4 page Class Notes was uploaded by BALNL on Thursday October 13, 2016. The Class Notes belongs to NU111 at Kaplan University taught by in Spring 2015. Since its upload, it has received 4 views. For similar materials see Medical-Surgical I in NURSING at Kaplan University.

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Date Created: 10/13/16
Type Osmolari Descripti Use Misc ty on ↑ circulating plasma volume when red cells are adequate DO NOT use in patients with  failure, Shock edema, hypernatremia – NSS  9% NaCl in Fluid replacement replaces ECF and can lead to fluid Normal water Saline [NS]  Crystalloid Isotonic Hyponatremia overload Blood transfusions Replaces losses without altering fluid Resuscitation concentrations Metabolic Alkalosis (tooHelpful for Na+ replacement little acid in body) Hypercalcemia Water replacement raises total fluid volume Use cautiously – may cause  collapse DKA after initial normal or ↑ intracranial pressure saline solution and DO NOT use in pts with liver disease,  45% NaCl in before dextrose trauma, or burns ½ Normal Saline water Hypotonic infusion Useful for daily maintenance of body [1/2 NS]  Crystalloid Hypertonic dehydration fluid – is less value for replacement Sodium and Chloride of NaCl deficit depletion Helpful for establishing renal function Gastric fluid loss from fluid replacement for clients who do nasogastric suctioning not need extra glucose (diabetics) or vomiting Similar electrolyte content with serum Replaces fluid and but does not contain magnesium buffers pH Has potassium – do not give to pts  Normal saline with Hypovelemia due to with renal failure = hyperkalemia Lactated Isotonic third-space shifting Do not use in liver disease – pt cannot Ringer’s [LR] electrolytes Dehydration metabolize lactate | functional liver & buffer Burns converts to bicarbonate Lower GI tract fluid loss normal saline with K, Ca, and lactate acute blood loss (buffer) Often used during surgery Solution is isotonic initially – becomes hypotonic when dextrose is metabolized Raises total fluid volume Do not use in resuscitation – can helpful in rehydrating  Dextrose Isotonic | excretory purposes cause hyperglycemia D 5 5% in water physiologically fluid loss & dehydration Use with caution in pts with renal or   Crystalloid hypotonic disease – can cause fluid overload Hypernatremia (high Does not provide enough daily calories blood sugar) – may cause protein breakdown Provides 170-200 calories Hypotonic dehydration Replaces fluid Na, Cl, and calories Temporary treatment of circulatory  Dextrose insufficiency & shock Do not use in pts with  or renal 5% in 0.9% (if plasma expanders failure – danger of heart failure and D 5S saline Hypertonic are not available) pulmonary edema SIADH (Syndrome of Watch for fluid volume overload inappropriate antidiuretic hormone secretion) (pituitary | hyponatremia) Addisonian crisis DKA (diabetic In DKA use only when glucose falls  Dextrose ketoacidosis) after <250mg/dL 5% in initial treatment with Most common postoperative fluid D 5/2 NS 0.45% Hypertonic normal saline and half Useful for daily maintenance of body saline normal saline – fluids and nutrition – and for prevent hypoglycemia rehydration & cerebral edema Same as LR plus Contraindicated in newborns – even if provides 180 calories per 1000cc’s separate infucion lines are used |  Dextrose can cause ceftriaxone-calcium salt D 5R 5% in LR Hypertonic Indicated as a source of precipitation water, electrolytes Contraindicated in pts with known and calories | alkalinizing agent hypersensitivity to sodium lactate Replaces fluid and buffers pH Indicated for replacement of acute ECF volume losses in Not intended to supplant transfusion of whole blood or packed red cells in Normosol-R  Normosol Isotonic surgery, trauma, the presence of uncontrolled burns or shock hemorrhage – or severe reductions Used as an adjunct to restore a ↓ in in red cell volume circulatory volume in pts with moderate blood loss


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