IV Fluid Basics
What does “IV” stand for?
Intravenous
What should the nurse check before giving any IV fluid?
Provider order / Right patient
What are the 3 main types of IV fluid?
Isotonic, Hypotonic, Hypertonic
Which patient is MOST at risk for fluid overload?
A. Burn patient
B. Healthy adult
C. Renal failure patient
D. Post-op appendix patient
C. Renal failure patient
Where do IV fluids go in the body?
Into the bloodstream
NS is used to flush which device?
Intravenous line (IV)
Which type of solution has the same concentration as body fluids?
Isotonic
A nurse is caring for a client receiving 3% hypertonic saline for severe hyponatremia. Which finding requires immediate action?
A. Dry mucous membranes
B. Serum sodium 130 mEq/L
C. Crackles in the lungs and shortness of breath
D. Urine output 50 mL/hr
C. Crackles in the lungs and shortness of breath
What do fluids help maintain in the body: hydration or digestion?
Hydration
Crackles in the lungs may mean what?
Fluid overload
What is the goal of giving IV fluids?
Restore hydration, maintain fluid balance, and support circulation
A client is receiving 0.45% Normal Saline for treatment of hypernatremia. After 30 minutes, the client becomes increasingly confused and complains of a severe headache. Which action should the nurse take first?
A. Slow the infusion rate
B. Stop the IV infusion and assess the client
C. Notify the healthcare provider
D. Reassure the client that this is an expected response
B. Stop the IV infusion and assess the client
Which is thicker: blood or water?
Blood
Potassium IV must be: diluted or given straight IV push?