HYPOTONIC IV FLUIDS

Question 1

What are hypotonic IV fluids?

Answer 1

IV fluids that have a lower osmolarity than blood, causing fluid to move into cells.

Question 2

Name a commonly used hypotonic IV fluid.

Answer 2

0.45% Sodium Chloride (Half Normal Saline)

Question 3

What is the primary indication for using hypotonic IV fluids?

Answer 3

To treat patients with dehydration or hypernatremia.

Question 4

True or False: Hypotonic IV fluids can lead to cellular swelling.

Answer 4

True

Question 5

Fill in the blank: Hypotonic fluids are often used when a patient has ___________.

Answer 5

cellular dehydration

Question 6

What adverse effect is associated with hypotonic IV fluid administration?

Answer 6

Cerebral edema

Question 7

What electrolyte imbalance can occur with hypotonic IV fluids?

Answer 7

Hyponatremia

Question 8

Which condition should be treated cautiously with hypotonic IV fluids?

Answer 8

Head injuries or neurological disorders

Question 9

What is the osmolarity of 0.45% Sodium Chloride?

Answer 9

154 mOsm/L

Question 10

True or False: Hypotonic fluids are contraindicated in patients with heart failure.

Answer 10

True

Question 11

What is a key precaution when administering hypotonic IV fluids?

Answer 11

Monitor for signs of fluid overload.

Question 12

Fill in the blank: Hypotonic solutions can dilute ___________ levels in the blood.

Answer 12

sodium

Question 13

Name two types of hypotonic IV fluids.

Answer 13

0.45% Sodium Chloride and Dextrose 2.5% in water

Question 14

What is the effect of hypotonic fluids on blood cells?

Answer 14

They cause blood cells to swell and may burst.

Question 15

True or False: Hypotonic IV fluids can be used for rapid volume expansion.

Answer 15

False

Question 16

When should hypotonic IV fluids be avoided?

Answer 16

In patients with liver disease or severe malnutrition.

Question 17

What is the primary risk of administering hypotonic IV fluids too quickly?

Answer 17

Increased intracranial pressure

Question 18

Fill in the blank: Patients receiving hypotonic IV fluids should be monitored for ___________ signs.

Answer 18

neurological

Question 19

What is the recommended rate of administration for hypotonic IV fluids?

Answer 19

Slow and carefully, based on patient’s condition.

Question 20

True or False: Dextrose 5% in water is considered a hypotonic solution.

Answer 20

True

Question 21

What happens to plasma osmolarity when hypotonic fluids are administered?

Answer 21

It decreases.

Question 22

What is a common misconception about hypotonic IV fluids?

Answer 22

That they can be used for all types of dehydration.

Question 23

Fill in the blank: Hypotonic IV fluids can exacerbate ___________ in patients with renal failure.

Answer 23

fluid retention

Question 24

What should be assessed before initiating hypotonic IV fluids?

Answer 24

The patient’s electrolyte levels.

Question 25

True or False: It is safe to administer hypotonic IV fluids to all patients.

Answer 25

False

Question 26

What is the main goal when using hypotonic IV fluids?

Answer 26

To rehydrate cells and correct electrolyte imbalances.

Question 27

What is the volume of distribution for hypotonic IV fluids?

Answer 27

Higher than isotonic fluids due to cell uptake.

Question 28

Fill in the blank: Patients with ___________ should be closely monitored when receiving hypotonic fluids.

Answer 28

diabetes insipidus

Question 29

What is the potential effect of hypotonic IV fluids on blood pressure?

Answer 29

It may cause hypotension if administered too rapidly.

Question 30

Name a clinical scenario where hypotonic IV fluids might be appropriate.

Answer 30

In treating a patient with hypernatremia.

Question 31

True or False: Hypotonic IV fluids can be used for patients with severe dehydration.

Answer 31

True, but with caution.

Question 32

What should be monitored hourly when administering hypotonic IV fluids?

Answer 32

Vital signs and fluid balance.

Question 33

What is a critical consideration when using hypotonic IV fluids in pediatrics?

Answer 33

The risk of rapid fluid shifts.

Question 34

Fill in the blank: The use of hypotonic IV fluids can lead to ___________ if not monitored properly.

Answer 34

water intoxication

Question 35

What is the effect of hypotonic fluids on the body's osmotic balance?

Answer 35

They decrease osmotic pressure in the vascular space.

Question 36

True or False: Hypotonic IV fluids can be used for patients with a history of stroke.

Answer 36

False, unless carefully monitored.

Question 37

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

Answer 37

They provide free water to cells.

Question 38

Fill in the blank: Hypotonic fluids provide ___________ but not significant electrolytes.

Answer 38

hydration

Question 39

What is a contraindication for hypotonic IV fluids?

Answer 39

In patients with severe hyponatremia.