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IV Therapy
IV Solution
19
Nursing
Undergraduate 2
01/09/2013

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Cards

Term

IV Solution: Usage & Limitations

 

Provides free water (hypotonic) to the ECF & intracellular spaces, as the dextrose is quickly metabolized; promotes renal elimination of solutes; treats hypernatremia; does not provide electrolytes; provides calories (1L=170 Calories)

Definition

D5W

5% Dextrose in Water

Term

IV Solution: Usage & Limitations

 
Osmotic diuretic; provides free water & 340 calories per liter, but no electrolytes; hypertonic solutions may irritate the veins.
Definition

D10W

10% Dextrose in Water

Term

IV Solution: Usage & Limitations

 
Osmotic diuretics; provides calories, but no electrolytes; solutions containing more than 10% dextrose must be infused thru a central line.
Definition

D20W

20% Dextrose in water

Term

IV Solution: Usage & Limitations

 
Osmotic diuretic; provides calories, but no electrolytes.
Definition

D50W

50% Dextrose in Water

Term

IV Solution: Usage & Limitations

 
For daily maintenance of body fluids when chloride & sodium are required; treats hypernatremia; replaces hypotonic losses; 170 cals per Liter
Definition

D5 1/4 NS

5% Dextrose & 0.2% NaCl

Term

IV Solution: Usage & Limitations

 
To promote renal function & excretion; basically the same as 0.45 NS except provides 170 cals per Liter.
Definition

D5 1/2 NS

5% Dextrose & 0.45% NaCl

Term

IV Solution: Usage & Limitations

 
To treat fluid volume deficit; for daily maintenance of body fluids & nutrition; basically the same as NS, except provide 170 cals per Liter.
Definition

D5NS

5% Dextrose & 0.9% NaCl

Term

IV Solution: Usage & Limitations

 
To replace calories, fluid, sodium, & chloride.
Definition

D10NS

10% Dextrose & 0.9% NaCl

Term

IV Solution: Usage & Limitations

 
 Assists with renal function; provides free water, Na, & Cl; replaces normal hypotonic daily fluid losses, assists with daily body fluid needs, but not with electrolyte replacement or provision of calories. 
Definition

1/2 NS

0.45% NaCl

Term

IV Solution: Usage & Limitations

 
Replaces NaCl deficit & restores/expands ECF volume; the ONLY IV solution that may be administered with blood/blood products, doesn't provide free water that cause hemolysis of RBC.
Definition

NS

0.9% NaCl

Term

IV Solution: Usage & Limitations

 
Raises Na osmolality in the blood; removes excess intracellular fluid; infuse slowly & monitor for pulmonary edema & intravascular volume overload.
Definition

3% NS

3.0% NaCl

Term

IV Solution: Usage & Limitations

 
Replaces K, Na, Cl, & Ca; doesn't contain lactate, which can be harmful to those who are unable to metabolize lactic acid; does not provide free water.
Definition
Ringer's Solution
Term

IV Solution: Usage & Limitations

 
Closely resemble the electrolyte composition of normal blood serum & plasma; doesn't provide calories or free water; used to treat losses from lower GI tract & burns.
Definition
Lactated Ringer's Solution
Term

IV Solution: Usage & Limitations

 
Same as Lactated Ringers, plus 170 cals per Liter.
Definition

D5 LR

5% Dextrose in Lactated Ringers

Term

IV Solution: Usage & Limitations

 
Same as lacted ringers, plus 340 cals per liter.
Definition

D10 LR

10% Dextrose in Lacted Ringers

Term

IV Solution: Usage & Limitations

 
Plasma expander (expands volume in vasculature) or Colloid- substances that increase COP (Cardiac output) & effectively move fluid from the interstitial compartments to the plasma compartment by pulling the fluid into the blood vessels.
Definition
10% Dextran 40 in 5% Dextrose
Term

IV Solution: Usage & Limitations

 
Same as 10% Dextran 40 in 5% Dextrose with 154 mEq/L of both Na & Cl.
Definition
10% Dextran 40 in 0.9% NS
Term

IV Solution: Usage & Limitations

 
Provides fatty acids & calories.
Definition
Intralips 10%
Term

IV Solution: Usage & Limitations

 
Provides fatty acids & calories; contraindicated with liver damage or altered fat metabolism.
Definition
Intralipids 20%
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