IV SOLUTIONS
What are the HYPERtonic solutions?
5% Dextrose in NS (D5NS)
5% Dextrose in LR
5% Dextrose in 0.45% Saline
What patient would need ISOTONIC?
Burns/hemorrhage
Surgery
Dehydration
Fluid maintenance
What is it?
Its Kidneys excrete too much protein in urine
Meds for HYPO and HYPER thyroidism
Hypo : Levothyroxine
Hyper : Propylthiouracil & beta blocker
S&S of SIADH (Think ”Adds Da H20” - or S for ”SOAKED”)
LOW urine output
Fluid Retention
HyPOnatremia
HYPERtension/Tachycardia
Crackles
Weight GAIN
What are the ISOtonic Solutions?
Normal Saline
Lactated Ringers
5% Dextrose (D5W) In the bag
What patients would need HYPERtonic?
Low Sodium
Metabolic Alkalosis
Maintenance Fluid
Hypovolemia
Medications for Nephrotic syndrome?
Diuretics
Prednisone
Statins
What to monitor for a patient post thyroidectomy?
Bleeding on dressing
Back of neck blood pooling
Parathyroid damage (Same s&s hypocalcemia)
S&S of DI? Think (DI= Dry Inside)
High urine output (diluted)
Dehydrated
Polydipsia
Hypotension
Anorexia
What are the HYPOtonic solutions?
O.45% NS
0.33 NS2.5% Dextrose
D5W Inside the body!
What electrolyte imbalance causes + Trousseaus and + Chvostek’s?
Hypocalcemia
What would you monitor for a patient with nephrotic syndrome?
Infection
Blood Clots
Immediate treatment for an MI?
ONAM!
Nursing Precautions for SIADH?
Restrict fluids
Monitor I&O/Weight
SEIZURE precautions
HYPERTONIC solution
What kind of patients would NOT get hypotonic solution?
What kind of patients would get it?
Diabetics
Burns
Liver Disease
Would: DKA
S&S Of HYPERmagnesmia? (Think: Sedated)
LOW everything.
Low, HR, BP, RR, Decreased respirations/bowel sounds.
Monitor fluid status
Daily weights and I&Os
Swelling and abdominal girth
Care for a patient with hyperthyroidism?
LOW stimulus
Monitor weight
Monitor Vitals (^BP, ^HR, ^GI function)
Nursing precautions for DI?
Monitor I&O/Weight
What IV solution Is also used with blood products?
ISOTONIC
Hypomagnesmia may ALSO cause..
+ Trousseuas and + Chvostek’s sign.
High HR, High BP, Increased DTR
Signs and symptoms of nephrotic syndrome
Hypertension
Hypoalbumenia (edema, fatigue)
Proteinuria (protein in urine)
Thyroidectomy Considerations
Life long therapy
Calcium therapy
laryngospams
What does SIADH and DI stand for?
(Only putting this because i forget sometimes lol)
SIADH - Syndrome of inappropriate antidiuretic hormone
DI: Diabetes Insipidus