HYPERTONIC IV FLUIDS

Question 1

What are hypertonic IV fluids?

Answer 1

IV fluids that have a higher osmolarity than serum, used to draw water out of cells.

Question 2

Name a common type of hypertonic IV fluid.

Answer 2

3% Sodium Chloride (NaCl)

Question 3

True or False: Hypertonic fluids can cause cellular dehydration.

Answer 3

True

Question 4

What is the primary indication for administering hypertonic IV fluids?

Answer 4

To treat hyponatremia.

Question 5

Fill in the blank: Hypertonic saline solutions are often used in cases of __________.

Answer 5

cerebral edema

Question 6

What are the potential adverse effects of hypertonic IV fluids?

Answer 6

Fluid overload, hypernatremia, and cellular dehydration.

Question 7

True or False: Hypertonic IV fluids should be administered quickly.

Answer 7

False

Question 8

What is a contraindication for hypertonic IV fluid administration?

Answer 8

Heart failure.

Question 9

Describe one nursing consideration when administering hypertonic IV fluids.

Answer 9

Monitor serum sodium levels closely.

Question 10

Which hypertonic solution is specifically used for severe hyponatremia?

Answer 10

3% Sodium Chloride (NaCl)

Question 11

Fill in the blank: Hypertonic fluids can lead to __________ if not monitored properly.

Answer 11

pulmonary edema

Question 12

What is the osmolarity of 3% Sodium Chloride?

Answer 12

Approximately 1026 mOsm/L.

Question 13

True or False: Dextrose 10% in water is considered a hypertonic fluid.

Answer 13

True

Question 14

What is an important nursing action prior to administering hypertonic IV fluids?

Answer 14

Obtain a baseline assessment of fluid status.

Question 15

Name one potential complication of hypertonic IV fluid therapy.

Answer 15

Central pontine myelinolysis.

Question 16

What should be monitored during the administration of hypertonic fluids?

Answer 16

Vital signs and neurological status.

Question 17

True or False: Hypertonic IV fluids are safe for all patients.

Answer 17

False

Question 18

What is the primary mechanism of action for hypertonic IV fluids?

Answer 18

To increase serum osmolarity and draw fluid from cells.

Question 19

Fill in the blank: Hypertonic solutions are often used in combination with __________ to prevent complications.

Answer 19

isotonic fluids

Question 20

What is the role of hypertonic fluids in trauma patients?

Answer 20

To expand intravascular volume.

Question 21

What is one sign of hypernatremia that a nurse should watch for?

Answer 21

Confusion or altered mental status.

Question 22

Name an alternative hypertonic fluid other than 3% NaCl.

Answer 22

Dextrose 5% in 0.9% NaCl.

Question 23

True or False: Hypertonic fluids can be given as bolus doses.

Answer 23

True, but with caution.

Question 24

What is the effect of hypertonic fluids on blood volume?

Answer 24

It increases blood volume by drawing fluid from cells.

Question 25

Fill in the blank: Administering hypertonic fluids too quickly can result in __________.

Answer 25

cerebral edema

Question 26

What is the recommended rate for administering hypertonic saline?

Answer 26

Slowly, typically over 8-12 hours.

Question 27

Name a condition that may require cautious use of hypertonic fluids.

Answer 27

Renal impairment.

Question 28

True or False: Hypertonic IV fluids can be used in patients with dehydration.

Answer 28

False, they are typically not used for dehydration.

Question 29

What are the signs of fluid overload in patients receiving hypertonic IV fluids?

Answer 29

Shortness of breath, hypertension, and edema.

Question 30

Fill in the blank: Hypertonic fluids are contraindicated in patients with __________.

Answer 30

kidney disease

Question 31

What is the purpose of using hypertonic fluids in post-operative patients?

Answer 31

To maintain fluid balance and prevent hyponatremia.

Question 32

What type of monitoring is essential after administering hypertonic fluids?

Answer 32

Neurological monitoring.

Question 33

Fill in the blank: Hypertonic solutions can help reduce __________ in patients with traumatic brain injury.

Answer 33

intracranial pressure

Question 34

True or False: Hypertonic IV fluids are often used in critically ill patients.

Answer 34

True

Question 35

What is the main electrolyte concern when using hypertonic IV fluids?

Answer 35

Sodium levels.

Question 36

What should be documented after administering hypertonic IV fluids?

Answer 36

Patient's response and any adverse effects.

Question 37

Name one benefit of using hypertonic IV fluids in the treatment of hypovolemic shock.

Answer 37

Rapid expansion of intravascular volume.

Question 38

Fill in the blank: Hypertonic saline is often used in __________ management.

Answer 38

critical care

Question 39

True or False: Hypertonic fluids can be used as a sole treatment for dehydration.

Answer 39

False

Question 40

What is the common practice for diluting hypertonic fluids?

Answer 40

They are often diluted with isotonic fluids.

Question 41

What is a key nursing intervention during the administration of hypertonic IV fluids?

Answer 41

Frequent reassessment of the patient's fluid status.

Question 42

Fill in the blank: The use of hypertonic solutions can lead to __________ if administered too rapidly.

Answer 42

osmotic demyelination syndrome

Question 43

True or False: Hypertonic IV fluids are indicated for patients with normal sodium levels.

Answer 43

False

Question 44

What is the osmolarity threshold for a solution to be considered hypertonic?

Answer 44

Greater than 300 mOsm/L.