Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove Ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

IV FLUIDS

IV FLUIDS AND USES / SPECIAL CONSIDERATIONS

QuestionAnswer
D5W - USES ISOTONIC - FLUID LOSS AND DEHYDRATION, HYPERNATREMIA
0.9% SODIUM CHLORIDE - USES NORMAL SALINE - SHOCK, HYPONATREMIA, BLOOD TRANSFUSIONS, RESUSCITATION, FLUID CHALLENGES, METABOLIC ALKALOSIS, HYPERCALCEMIA, FLUID REPLACEMENT IN DKA
LACTATED RINGERS - USES DEHYDRATION, BURNS, LOWER GI TRACT FLUID LOSS, ACUTE BLOOD LOSS, HYPOVOLEMIA DUE TO THIRD SPACING
0.45% SODIUM CHLORIDE - USES HYPOTONIC - WATER REPLACEMENT, DKA AFTER INITIAL NORMAL SALINE SOLUTION AND BEFORE DEXTROSE INFUSION, HYPERTONIC DEHYDRATION, SODIUM AND CHLORIDE DEPLETION, GASTRIC FLUID LOSS FROM NG SUCTIONING OR VOMITING
D5 1/2NS - USES HYPERTONIC - DKA AFTER INITIAL TREATMENT WITH NORMAL SALINE SOLUTION AND HALF-NORMAL SALINE SOLUTION - PREVETS HYPOGLYCEMIA AND CEREBRAL EDEMA (OCCURS WHEN SERUM OSMOLALITY IS REDUCED TOO RAPIDLY)
D5 NS - USES HYPOTONIC DEHYDRATION, TEMPORARY TREATMENT OF CIRCULATORY INSUFFICIENCY AND SHOCK IF PLASMA EXPANDERS NOT AVAILABLE. SYNDROME OF INAPPROPRIATE ANTIDIURETIC HORMONE (OR USE 3% SODIUM CHLORIDE), ADDISONIAN CRISIS
D10W - USES WATER REPLACEMENT, CONDITIONS IN WHICH SOME NUTRITION WITH GLUCOSE IS REQUIRED
D5W - CONSIDERATIONS * SOLUTION IS ISOTONIC INITIALLY; BECOMES HYPOTONIC WHEN DEXTROSE IS METABOLIZED* DONT USE FOR RESUSCITATION; CAN CAUSE HYPERGLYCEMIA* USE CAUTIOUSLY IN RENAL AND CARDIAC DISEASE; CAN CAUSE FLUID OVERLOAD* LONG TERM; MAY CAUSE BREAKDOWN OF PROTEIN
0.9% SODIUM CHLORIDE (NS) - CONSIDERATIONS * SINCE THIS REPLACES EXTRACELLULAR FLUID, DONT USE IN PATIENTS WITH CHF, EDEMA, OR HYPERNATREMIA, CAN LEAD TO OVERLOAD
LACTATED RINGERS - CONSIDERATIONS * ELECTROLYTE CONTENT IS SIMILAR TO SERUM BUT DOESNT CONTAIN MAGNESIUM* CONTAINS K+; DONT USE WITH RENAL FAILURE; CAN CAUSE HYPERKALEMIA* DONT USE IN LIVER DISEASE; THE PT CANT METABOLIZE LACTATE; GOOD LIVER CONVERTS TO BICARB; DONT GIVE IF PH>7.5
0.45% SODIUM CHLORIDE (1/2NS) - CONSIDERATIONS * USE CAUTIOUSLY; MAY CAUSE CARDIOVASCULAR COLLAPSE OR INCREASED INTRACRANIAL PRESSURE* DONT USE IN PATIENTS WITH LIVER DISEASE, TRAUMA, OR BURNS
D5NS - CONSIDERATIONS * DONT USE IN CARDIAC OR RENAL PATIENTS BECAUSE OF DANGER OF CHF AND PULMONARY EDEMA
D10W - CONSIDERATIONS * MONITOR SERUM GLUCOSE LEVELS
Created by: hartjl