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IV Fluids

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Question
Answer
What is Osmolality? *   # of solutes or particles in the blood.  
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What is normal osmolality?   270-300 mOsm/kg  
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What is the percentage of total body water in Newborns, adult male, and adult females?   Newborns 80%; Males 60%; Females 50%  
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What does an increase in osmolality indicate?   * Less body water * Increase thirst  
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What are some examples of insensible water loss?   * Sweat * Breathing * Evaportation through skin * Water loss through the lungs * it is not easily measured or is unmeasurable.  
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What is Osmosis? *   It is the passive diffusion of Water across a membrane.  
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What is Tonicity?   Osmolality  
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A fluid that is of the same osmolality as blood is called what? *   Isotonic  
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What is a Hypotonic solution? *   Water moves by osmosis from the vascular system into the cells.  
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What is a Hypertonic solution? *   Water moves by osmosis from the cells into the ECF.  
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What is Hydrostatic pressure and explain its importance. *   The force created by fluid within a closed system and it is responsible for normal circulation of blood.  
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What is Osmotic pressure and why is it important? *   It is the power of a solution to draw water. Helps maintain fluid in the vascular space.  
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What is oncotic pressure?   The force exerted by protein in the blood to pull water into the vascular (a type of osmosis).  
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In fluid shifting what is the 1st space?   No fluid shifting  
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What is the 2nd space?   Fluid moving into interstitial space  
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What is the 3rd space?   Fluid moves into abnormal spaces.  
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What is a crystalloid? *   Solutes that readily dissolve (e.g., electrolytes)  
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What is a colloid? *   Larger molecules that do not dissolve readily (e.g. Proteins).  
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Crystalloids increase volume in which area(s)?   Extracellular, and intravascular.  
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In what medical situations would Crystalloids be used to help? *   * Shock * Hemorrhage * Severe vomiting/diarrhea * Mild hyponatremia * Metabolic acidosis -DKA  
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What are lactated ringer's (LR)?   A crystalloid solution that is isotonic with blood.  
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When are lactated ringer's used?   * Burn injuries * GI tract losses * Fistula drainage * Metabolic acidosis  
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What effects to colloids have?   Same as hypertonic and crystalloids (expands blood volume; e.g. albumin)  
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Name two Hypotonic solutions.   D5W and .45 NS  
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Name two Hypertonic solutions.   3% NS and 5% NS  
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Demonstrate the set-up of primary and secondary IV solutions FOR TEST.   Review skills lab.  
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What is the IV flow rate to Keep Vein Open (KVO)?   10-30 mL/hr.  
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IV flow rate for maintenance is?   75-150 mL/hr.  
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