Iv fluids

Question 1

Sodium content of normal saline

Answer 1

154 meq/L

Question 2

Isotonic fluids

Answer 2

Used when patients need more fluid volume

Question 3

Hypotonic

Answer 3

Used when patients need more free water

Question 4

D5w

Answer 4

Used when patient needs more free water than sodium

Question 5

Solutions less than 1/2 normal saline require what to avoid hemolysis

Answer 5

Dextrose

Question 6

Electrolyte content of LR

Answer 6

130 mEq na
4 mEq potassium
2.7 mEq calcium
109 mEq chloride
28 mEq lactate

Question 8

What is an amp of bicarbonate

Answer 8

50 mEq sodium bicarbonate

Question 9

Name isotonic solutions

Answer 9

NS, D5w, LR

Question 10

When should LR not be used

Answer 10

If Ph is above 7.5 as it can worsen alkalosis, may elevate potassium if used in renal failure, not for used in liver disease or in lactic acidosis

Question 11

What type of fluid should be used for GI suctioning losses

Answer 11

0.9% NS

Question 12

Name the hypotonic solutions

Answer 12

1/2 NS, D5w (starts as isotonic and then becomes hypotonic),

Question 13

Name the hypertonic solutions

Answer 13

3% NACL, D5 1/2 NS, D5LR, D5NS, D10 and D50

Question 14

What IVF to replace fluid, electrolytes, and calories

Answer 14

D5LR

Question 16

ADH

Answer 16

Vasopressin (anti diuretic hormone)

Question 17

SIADH occurs when the body inappropriately secretes too much or too little ADH?

Answer 17

Too much. Acts on kidneys to retain water lowering serum sodium

Question 18

Aldosterone

Answer 18

Causes sodium resorption (water follows), dumps k and H

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