Sterile H2O
What is the difference between regular water and sterile water?
Sterile Water is free from any contaminants or bacteria.
What is Sterile Saline?
A mixture of water and sodium chloride (salt)
What is Glycine?
A sterile, nonpyrogenic, aqueous solution that is nontoxic and non hemolytic and is similar to that of water.
What is Injectable NaCl?
A parenteral solution containing sodium chloride (NaCl) and water for INTRAVENOUS injection
What is Osmosis?
Maintains homeostasis by the movement of solvents and solutes through a semi permeable membrane from high solute concentration to low solute concentration
When is sterile water used?
For irrigation purposes only; rinsing, washing, and dilution.
When is sterile saline used?
(Must name at least 2)
Clean wounds
Clear sinuses
Treat Dehydration
Remove debris, bacteria and dead tissue
Airway hydration
Irrigate the bladder
Moisten dressings and wound beds
When is Glycine used?
Glycine is used during transurethral prostatic or bladder surgery
Glycine is used for endoscopic procedures
When is Injectable NaCl used?
Dehydration
Hyponatremia
Low salt syndrome
Additive for Total Parenteral Nutrition (TPN) and Carbohydrate containing IV fluids
How does solutions in surgery pertain to osmosis?
Solutions in Surgery helps control the movement of fluids between the cell membrane that is due to osmosis
When is sterile water not used?
Intravenous injection
When it is cold
If it is Expired
If bottle has been opened
When is sterile saline NOT used?
(Any is correct)
Orally
If it is too cold
If it is too hot
If it is expired
If bottle has been opened
When is Glycine not used?
Young children, pregnant women, breastfeeding mothers, patients with liver or kidney disease, or stroke patients
Should not be used for injection
Should not be used in patients with anuria
If it is expired
If integrity of package is not deemed good
If it is too cold or too hot for the human body
When is Injectable NaCl not used?
If solution is discolored, cloudy, hazy, or contains a precipitate
If it is expired
If the integrity is not deemed good
If it is too cold or too hot for the human body
How can fluid’s negatively affect a patient?
Insufficient amounts of fluid can lead to hypovolemia
Excessive amounts of fluid can cause tissue edema, wound infections, and organ dysfunction
How is sterile water handled on back table?
(Any one is correct)
Poured all at once
Poured into basin
Syringes are filled from basin
Bottle should be removed from back table once poured
How is sterile saline handled on back table?
(Any is correct)
Must be labeled
Must all be poured at once
Should be poured into basin
Empty bottle should be removed from back table
Syringes are filled from out the basin never the bottle
How is Glycine handled on the back table?
Must be labeled
Should all be poured into basin at once
Never put cap back on once removed
Bottle should not be left on back table once opened and poured
How is Injectable NaCL handled on the back table?
It must be labeled
Should all be poured into basin at once
Never put cap back on once opened
Bottle should not be left on back table once opened and poured
What factors influence the rates of distribution and elimination of given fluids?
Stress Dehydration Age Arterial pressure General anesthesia
Sterile saline is not always used. Why would the other solutions be used instead?
Because Sterile saline is isotonic, replacing loss of chloride
Hypotonic solutions (Sterile H2O, Glycine, and Injectable NaCl) are used to maintain water when only small amounts of salt are needed
What is diffusion?
What is an example of a semi-permeable membrane?
The movement of solvents and solutes through a semi-permeable membrane from a high concentration to a low concentration
Cell membrane