Health Care > EXAM > Isotonic/Hypotonic/Hypertonic Fluids Exam I 34 Questions with Answers,100% CORRECT (All)

Isotonic/Hypotonic/Hypertonic Fluids Exam I 34 Questions with Answers,100% CORRECT

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Isotonic/Hypotonic/Hypertonic Fluids Exam I 34 Questions with Answers Hypotonic fluids Osmolaity - CORRECT ANSWER <250 Hypotonic fluids have _________ 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 More]

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