Electrolyte IV replacement fluids!?!?!

[Starfish1]

ok so we basically have to learn electrolytes, fluids and acid base balances on our own (we did 2 group activities for this topic and no lecture)

i cannot seem to grasp when you would use the following and why, for what??

1)isotonic solutions 0.9% ns ringer's lactate (?? what is this??)

2) hypotonic 0.45%ns

3) hypertonic d10w?? what is this?? 3 to 5% ns d5ns, d51/2 ns and d5rl?? huh?? can someone help me figure out an easy way to remember how and when these would be used in hyper/hypo states??

thanks!!

:typing

[jadu1106]

https://allnurses.com/forums/f205/pathophysiology-p-microbiology-fluid-electrolyte-resources-145201-2.html (posts by VickyRN are very excellent--scroll down to post #12 and #13) Post #13 has an excellent chart that will help!

https://allnurses.com/forums/f50/electrolytes-help-338582.html (Daytonite has posted links here)

https://allnurses.com/forums/f50/electrolytes-acid-base-334861.html (more links by Daytonite and another student)

https://allnurses.com/forums/f205/any-good-iv-therapy-nursing-procedure-web-sites-127657.html (also has great useful links)

Hope this helps!!

[Daytonite, BSN, RN]

The answers for most of your questions are on this chart I put together some time ago: Table of Commonly Used IV Solutions.doc

[GingerSue]

here's another thread that might be helpful:

https://allnurses.com/forums/f8/iv-fluids-291948.html

with this list:

]HYPOTONIC: 0.45% Saline (free water, replace fluid losses, not electrolytes)

]ISOTONIC:

]0.9% Saline] (only solution used with blood products), not for calories, electrolytes or free water, used to replace EC fluid losses (expander)

]Ringer’s Solution]: no Mg2+ no HCO3-, no calories, no free water, to replace

]EC losses, used to expand intravascular volume

]Hartmann’s Solutionn (Lactated Ringer’s):] no Mg2+, no calories, no free water, to treat mild metabolic acidosis, losses from burns and lower GI, not for lactic acidosis

]5% Dextrose in Water: ]170 calories/L, free water, replace water losses, used

]to treat hypernatremia, no electrolytes

]5% Dextrose in 0.225% Saline]: 170 calories/L, free water, Na+, Cl-,

]used to replace hypotonic losses and treat hypernatremia

]HYPERTONIC]:

]10% Dextrose in Water]: 340 calories/L, free water only, no electrolytes

]5% Dextrose in 0.45% Saline]: 170 cal/L, same as 0.45% NaCl

]5% Dextrose in 0.9% Saline]: 170 cal/L, same as 0.9% NaCl

]3.0% Saline]: treat hyponatremia, slow admin (overload, pulm edema)