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14 Cards in this Set

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D5W (5% Dex in Water)
No Electrolytes. Supplies FREE WATER to AID in RENAL EXCRETION OF SOLUTES

Do not give to pt c increased ADH Activity or to replace fluids in hypovolemic pts
0.9% NaCl
ISOTONIC fluid commonly used to expand the ECF in presence of hypovolemia. Can be used to treat mild Metabolic Alkalosis coz of the High Cl- content
0.45% NaCl (1/2 strength saline)
HYPOTONIC SOLUTION
Provides Na, Cl & Free Water (Na & Cl provided in fluid flow allw kidneys to select & retain needed amts)

Free water desirable as aid to kidneys in elimination of solutes
0.33% NaCl (1/3 strength saline)
HYPOTONIC SOLUTION
Has Na, Cl & Free Water
Often used to treat HYPERNATREMIA(coz solution contains small amt of Na, it dilutes the plasma Na while not allowing it to drop too rapidly...
3% NaCl
HYPERTONIC
Used ONLY to treat SEVERE HYPONATREMIA
LACTATED RINGERS
ISOTONIC
Has multiple electrolytes in same concentrations found in plasma (Na, K, Ca, Cl, Lactate/metabolized to Bicarb, No Mg & PO4)

TREAT HYPOVOLEMIA, BURNS, FLUID LOST as BILE or DIARRHEA, MILD ACIDOSIS
Sodium Lactate Solution, 1/6M
ISOTONIC
Na = 167
Cl=167
TREAT SEVERE METABOLIC ACIDOSIS (Lactate is metabolized to bicarb in 1-2hrs by liver)..

Not used in pt c Liver Disease(lactate cannot be converted to bicarb in such individuals)
Not used in pts c O2 lack(unable to convert lactate to bicarb)
Sodium Bicarbonate, 5%
VERY HYPERTONIC SOLUTION
TREAT SEVERE METABOLIC ACIDOSIS
Admin at slow rate c extreme caution to salt retaining pts(cardiac, renal/liver dmg)
AMMONIUM CHLORIDE, 2.14%
ACID
Acidifying solution to treat SEVER MET ALKALOSIS
Admin cautiously to pt c compromised hepatic fx coz of high ammonium content
D10W (10% Dex in Water)
HYPERTONIC SOLUTION
5% Dex in 0.9% Saline

D59
HYPERTONIC
5% Dex in .45% Saline
D545
HYPERTONIC
5% Dex in Ringers Lactate
HYPERTONIC
Dextrose
Glucose