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Hypertonic/Hypotonic or Isotonic?
D5W
Hypotonic


Which fluid quickly shifts to hypotonic?
D5W
Which fluid (LR, D5W or Albumin) can cause hypotension due to shifting water OUT of vascular bed ?
D5W
Which type of fluid (isotonic/hypotonic/hypertonic) corrects cellular dehydration?
Isotonic
What is in Lactated Ringers?
Potassium, sodium, chloride and calcium
Lactate
Lactated Ringers

Isotonic, Hypotonic or Hypertonic?
Istonic
Normal Saline 0.9%
Isotinic, Hypotonic or Hypertonic?
Istonic
Fluids with same osmolality as human plasma?
Isotonic
What do hypertonic fluids do?
Shift water back into circulation
Shift fluid from cells (shrink) and interstitial spaces
Correct cellular dehydration
Which fluid type shifts water BACK into circulation?
Hypertonic
Hypertonic fluids shift fluid from where back into where?
From cells and interstitial spaces back into circulation
Hypertonic/Hypotonic or Isotonic?
D5NS
Hypertonic
Hypertonic/Hypotonic or Isotonic?

D5 ½ NS
Hypertonic
Hypertonic/Hypotonic or Isotonic? D5LR
Hypertonic
Which fluid causes vascular expansion hypertonic, hypotonic or isotonic?
Isotonic
Which fluids are more frequently used for electrolyte replacement...
hypertonic, hypotonic or isotonic?
Isotonic
Which fluids are used for electrolyte replacement...
D5 1/2NS, Lactated Ringers, or Mannitol?
Lactated Ringers
Name 2 specific fluids for electrolyte replacement
Lactated Ringers
NS 09.%
Name one specific fluid for cellular dehydration correction
D5W
Nursing considerations for D5W?
hypotension
increase edema
hyponatremia
irritates veins
Nursing considerations for Lactated Ringers and NS 0.9%?
Fluid overload
Generalized Edema
Proinflammatory in lg doses
Electrolyte imbalance
hypercholoremia acidosis
Nursing considerations for Hypertonic fluids like D0.9%NS?
Vein irritation
fluid overload
hypernatremia
hypercholremia
Fluid overload lab values?
DECREASED
Sodium, HCT and BUN
Signs of Volume Depletion?
Postural Hypotension
Tachycardia
Absence of JVP
Decreased skin turgor
Dry muc memb
Oliguria
Organ failure
Signs of volume overload?
Hypertension
Tachycardia
Raised JVP
Edema
Pleural Effusion
Pulmonary Edema
Ascites
Organ failure
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