IV Fluids 101
Na Balance
Potassium Power
Other Electrolyte Imbalances
Clinical Scenarios
100

The type of IV fluid that is 0.9% NS (Hyper, hypo, iso).

What is isotonic solution?

100

This is a normal serium sodium level.

What is 135-145?

100
This is a normal potassium level.

What is 3.5-5.5?

100
Name a symptom of hypocalcemia.

What are muscle cramps, tetany, Chvostek's sign?

100

A patient is NPO with mild s/s of dehydration. Which fluid is the best to administer?

What is 0.9 NS or LR?

200

D5W is initially isotonic but becomes this type of fluid in the body.

What is hypotonic?

200

This/these are symptoms of hyponatremia.

What are confusion, lethargy, nausea, seizures?

200
This can happen when a patient has hypokalemia.
What are arrhythmias (PVCs, VTach)?
200

Name a symptom of hypomagnesemia?

What is hyporeflexia or respiratory depression?

200

A patient has diarrhea and a potassium of 2.8. What intervention would be the most appropriate?

Administer IV potassium.
300

These types of fluids are best for a patient with hypovolemia and/or blood loss.

What is LR or NS?

300

This fluid is used to treat hyponatremia.

What is 3% NaCl or hypertonic solution?

300

A food high in potassium.

What is banana, spinach, avocado, sweet potato?

300

This electrolyte stabilizes cardiac cell membranes.

What is calcium?

300

A patient has CHF and when you auscultate you hear crackles and notice edema. What fluid should be avoided?

What is isotonic or hypertonic fluids?

400

This is a type of hypertonic IV solution.

What is 3% NaCl or D10W?

400

This condition is caused by water loss exceeding sodium loss.

What is hypernatremia?

400
How should IV potassium be administered?

What is diluted and via an IV pump?

400

A person taking loop diuretics is at risk for low levels of which electrolytes?

What is potassium and magnesium?
400

A patient has a serum sodium level of 122 and is seizing. Which type of fluid should be administered?

What is hypertonic?

500

This type of fluid should be used with caution d/t the risk of cerebral edema.

What is hypotonic fluid?

500

Name a major complication of correction sodium levels too quickly.

Osmotic demyelination.

500

You are giving IV potassium chloride. Before administering, this should be assessed.

What is urine output and/or kidney function.

500

This can happen if administering magnesium too rapidly.

What is cardiac arrest or respiratory failure?

500

A patient has a potassium level of 6.2. What interventions does this patient need to correct this value?

What is insulin/D50, calcium gluconate, or kayexalate?