Fluids and electrolytes
50 flashcards · Other · by KRYSTEL ANN A MARTIN
Fluid found inside the cell
Intracellular fluid
It comprises 2/3 or 70% of the body fluid
Intracellular fluid
Found outside the cell
extracellular fluid
1/3 of the body fluid
Extracellular fluid
Fluids that surrounds the body cells and include the lymph.
Interstitial fluid
75% of ECF
Interstitial fluid
Plasma of the blood
Intravascular
25% of the ECF
Intravascular
Are fluids in specific compartment of the body such as CSF, pleural cavity, renal tubules, digestive juices, lymph system, and joints
Transcellular
60% of their body is water
Male
80% of their weight is water
Infants
50% of their body is water
female
Same solute concentration as another solution/same tonicity as body fluids.
Isotonic
When infused, it expands both the intracellular fluid and extracellular fluid spaces, equally.
Isotonic
Isotonic total electrolyte content is approximately
300 mEq/L.
have a total osmolality close to that of the ECF
Isotonic
0.9 % NSS
ISotonic
D5 Water
Isotonic
5% in 0.225% saline (D5 W1/4NS)
Isotonic
Plain LR
Isotonic
D5W uses
to supply water, replace fluid loss and dehydration to treat hypernatremia. provides 200 kcal and contains 50g of glucose.
is a crystalloid isotonic IV fluid that contains water, sodium (154 mEq/L), and chloride (154 mEq/L).
NSS/0.9% NaCl
It has an osmolality of 308 mOsm/L and gives no calories.
NSS/0.9% NaCl
the solution of choice for expanding the extracellular fluid (ECF) volume
NSS/0.9% NaCl
USES OF NSS
for BT, to replace large sodium losses in burn injuries and trauma. To provide fluid replacement with DKA. Hyponatremia, hypercalcemia, metabolic alkalosis, & shock To provide fluid resuscitation/ perform fluid challenge
have a lower osmolality and contain fewer solutes than plasma.
Hypotonic
considered hypotonic if the total electrolyte content is less than 250 mEq/L.
Hypotonic
cause fluid shifts from the ECF into the ICF causing cells to swell
Hypotonic
Are used when fluid is needed to enter the cell if pt has cellular DHN
Hypotonic
.45% NS,
Hypotonic
.225NS
Hypotonic
2.5 Dextrose Water
Hypotonic
used for patients who have hypovolemia or with hyperosmolar conditions.
0.45% Sodium Chloride
often used as a maintenance fluid for pediatric patients
0.225% Sodium Chloride (0.225% NaCl)
used to treat dehydration and decreased the levels of sodium and potassium.
2.5% Dextrose in Water (D2.5 in W)
Has a higher solute concentration than other solution.
Hypertonic
known as volume expanders
Hypertonic
More solutes, Less fluids
Hypertonic
Are used to expand the plasma volume in hypovolemic shock and replace electrolytes
Hypertonic solutions
D5.09 NaCl
Hypertonic solutions
3%NS
Hypertonic
Treat Addisonian crisis, hypotonic DHN, SIADH.
Dextrose 5% in NS
an osmotic diuretic that causes fluid shifts between various compartments to promote diuresis.
Dextrose 20% in Water (D20W)
It is used commonly used to treat severe hypoglycemia
Dextrose 50% in Water (D50W)
Dextrose 50% in Water (D50W)
Dextrose 50% in Water (D50W)
a higher concentration of sodium and chloride than normally contained in plasma.
Hypertonic Sodium Chloride IV Fluids
Infusion of hypertonic sodium chloride solution shifts fluids from the intracellular space into the intravascular and interstitial spaces.
Hypertonic Sodium Chloride IV Fluids
contains 513 mEq/L of Na and chloride with an osmolality of 1030 mOsm/L.
3% sodium chloride (3% NaCl)
contains 855 mEq/L of sodium and chloride with an osmolality of 1710 mOsm/L.
5% sodium chloride (5% NaCl)