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6 Cards in this Set

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How to hypertonic solutions move electrolytes?

IC to EC

What harm can hypotonic solutions cause?




What osmolality must these fluids be at to cause this?

hypotonic solutions less than 150 mOsm/L can cause fluid to shift from the EC to IC which can lead to cellular over hydration


-can cause RBCs to burst, hemolysis


-bran cells can swell, causing cerebral edema and herniation (what can happen in hyponatremia)

What is the osmolarity of:




Plasma?




NS?




D5W?




D5W/NS?




20 mEq KCl?

Plasma = 275-290 mOsm/L

NS = 287 mOsm/L




D5W = 287 mOsm/L




D5W/NS = 565 mOsm/L




20 mEq KCl = 40 mOsm/L

How is plasma osmolality calculated?

(2 x Na) + (glucose/18) + BUN/2.8

What does low Posm cause fluids to do?




What can it lead to?

Low Posm causes cellular swelling which can lead to permanent neurological problems





What does high Posm cause fluids to do?

High Posm causes cellular dehydration