Isotonic/Hypotonic/Hypertonic Fluids Exam I 34 Questions with Answers
Hypotonic fluids Osmolaity - CORRECT ANSWER <250
Hypotonic fluids have
... [Show More] _________ concentration of electroyltes - CORRECT ANSWER Lower
Purpose of hypotonic fluid - CORRECT ANSWER cause fluid shift from Intravascular space to Intracellular and interstitial spaces (
* Purpose is to hydrate cells and remove fluid from within circulatory system
0.45 NaCl is what kind of fluid
0.33 NaCl
0.2% NaCl - CORRECT ANSWER Hypotinic
2.5% Dextrose in water is what kind of fluid - CORRECT ANSWER Hypotonic
Hypotonic fluids are used in pt's with - CORRECT ANSWER Intracellular dehydration.
Diabetic ketoacidosis
hyperosmolar hyperglycemia
Don't use hypotonic solutions in patient's with - CORRECT ANSWER these following conditions:
Liver disease
Trauma
Burns
NEVER give hypotonic IV solution to patient with - CORRECT ANSWER ICP
Older patients- confusion can be a sign of - CORRECT ANSWER fluid volume deficit
Hypotonic solutions help kidneys excrete - CORRECT ANSWER fluids and electrolytes
Isotonic solutions have an osmolality of - CORRECT ANSWER 250-375
Purpose of isotonic solution is to - CORRECT ANSWER Increase intravascular volume
This solution does not move into cells - it remains in ECF and distributed between intravascular and interstitial spaces .
Types of Isotonic solutions - CORRECT ANSWER 0.9% NaCl- Normal saline
Lactated Ringers
5% dextrose in water (D5W)
Ringers solution
A patient would receive isotonic nomal saline 0.9% NaCl due to - CORRECT ANSWER hemorrhage
diarrhea
severe vomiting
fistula
wounds
heavy drainage
Conditions commonly treated with isotonic normal saline 0.9% NaCl - CORRECT ANSWER SHOCK
RESUSCITATION
BLOOD PRODUCTS
Metabolic acidosis
hypercalcemia
Mild hyponatremia
Use isotonic fluids cautiously with patients that have - CORRECT ANSWER cardiac or renal disease due to fluid overload potential
Lactated Ringersis most commonly used with - CORRECT ANSWER burn victims
Replace GI tract fluid
Fistula drainage
hypovolemia d/t 3rd spacing
DO NOT GIVE lactated Ringers to patient's with - CORRECT ANSWER Liver Disease
LACTIC acidosis
or can't metabolize lactate
or with PT that has PH >7.5
Lactated Ringers Isotonic contains - CORRECT ANSWER Sodium
Potassium
calcium
chloride
* most adaptable fluid closely related to body's blood serum plasma.
D5W is isotonic and hypotonic solution to provide - CORRECT ANSWER free water
provides free water for kidneys aiding in renal excretion of solutes
Contains 170 calories/L
D5W is appropriate to treat - CORRECT ANSWER Hypernatremia
because it dilutes extra sodium in ECF
Don't use D5W in - CORRECT ANSWER early post op patients
ICP - due to hypotonic properties
Hypervolemia S/S - CORRECT ANSWER HTN
bounding pulse
pulmonary crackles
Dyspnea
SOB
Peripheral edema
JVD
Extra heart sounds
Ringers solution - do not use with - CORRECT ANSWER metabolic acidosis
Not an alkalizing agent
before giving fluid for hypovolemia monitor - CORRECT ANSWER baseline v/s
baseline edema
lung sounds
heart sounds
Hypertonic solutions have osmolarity - CORRECT ANSWER of >375
Hypertonic solutions have - CORRECT ANSWER higher concentration of electroyles
Purpose of hypertonic solution is to - CORRECT ANSWER draw water out of intracellular space and increase ECF,
(Used as a volume expander)
Examples of use for hypertonic solutions - CORRECT ANSWER Severe hyponatremia
Pt with cerebral edema
Hypertonic fluid examples - CORRECT ANSWER 3% NaCl ( sodium chloride )
5% NaCl (sodium chloride )
Use hypertonic solutions only - CORRECT ANSWER in critical situations- as it raises sodium levels significantly
GIVE SLOWLY
D50W is used to treat - CORRECT ANSWER rapid bolus for hypoglycemia
Hypertonic solutions should only be infused through - CORRECT ANSWER central line
In HIGH ACUTE setting
Hypertonic solutions are contraindicated in - CORRECT ANSWER patients with
cardiac and renal problems that are DEHYDRATED
Patient with cellular dehydration
Ketoacidosis
As it can make all of these symptoms worse [Show Less]