Plzzz help me guys

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Can anyone tell me why is that 0.3% NaCl IVF is always given in patient with acute glomerulonephritis?thx...:D

and what is the tonicity of 0.3% NaCl?hypertonic?hypotonic?isotonic?thx again..

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Specializes in So far, just the basics....

0.3% NaCl is a hypotonic solution. I haven't learned about kidney disease yet, (that's part of the curriculum in my next quarter) but I do know that healthy kidneys are necessary to maintain an electrolyte balance, specifically potassium so I will assume that a person with glomeruleronephritis(sp?) would be suffering from hyperkalemia or is at risk for it and a hypotonic solution is used to treat hyperkalemia. I hope that helps.

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0.3% NaCl is a hypotonic solution. I haven't learned about kidney disease yet, (that's part of the curriculum in my next quarter) but I do know that healthy kidneys are necessary to maintain an electrolyte balance, specifically potassium so I will assume that a person with glomeruleronephritis(sp?) would be suffering from hyperkalemia or is at risk for it and a hypotonic solution is used to treat hyperkalemia. I hope that helps.

thanks 2 u.maybe this can help me...take care always

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Specializes in CVICU, CCU, Heart Transplant.

Glomerulonephritis usually leads to acute kidney failure, right? So, usually these patients are on fluid restrictions.

But I believe what they are pointing out is that there is less solute-- less salt, which is excreted by kidneys. This may help with keeping electrolytes in balance. So, if you were going to give a patient fluids, it would be a fluid with less sodium. Plus, isotonic salines may reduce 3rd spacing?

Those are just some ideas.

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