IV Fluids

Nurses Medications

Published

Can anyone help with when certain IV Fluids are used. Mainly LR and NS vs 1/2 NS. Or are there any suggestions on where I can look it up?

Specializes in ED/ICU/TELEMETRY/LTC.

I do know the answer to your question, but seriously when I googled it, it took less time to find the answers than for you to post your homework question. So my suggestion would be

google.com

Specializes in Vascular Access.

In order to understand the answer, you need to be familar with the body fluid compartments. Namely, Intracellular (ICF) and Extracellular (ECF). ICF is the fluid inside the cells. Look at it as this: ICF are the cells outside the blood vessels. ECF has subsets, it comprises the fluid surrounding the cells which are located outside the vessels - this is called Interstitial fluid and the blood vessel itself is called intravascular.

If you have someone whose cells are dehydrated, you need to give an IVF which will hydrate the cells, namely a HYPOTONIC fluid as this fluid will go from ECF to ICF.

In contrast, if you have someone who just returned from surgery and who has third space fluid shifts, a HYPERTONIC fluid may be appropriate as fluid will leave the ICF and interstitial areas and come into the Intravascular ECF.

Thyen, one with fluid loss from N/V, an isotonic solution may be appropriate.

Hope this helps.

hypertonic, hypotonic, and isotonic solutions. all depends on the patient...maybe that will point your research in the right direction as to why these are given ;)

+ Add a Comment