Suggestions needed on writing my fluid & electrolyte paper

[FutureCareBear]

Hello, I am new to this site.

I am working on a Fluid and Electrolyte paper, which is similar to a care plan. I am a 4th semester student and I do know how to write this, but I have a couple of questions.

1. My patient was on D5 1/2 NS with 20 KCl @125 cc/hr. Is this hypo, hyper, or isotonic?

2. Any suggestions? My patient had emergency surgery. He was parachuting and his chute did deploy, but he landed hard fracturing his right femur and both ankles. I am working on balancing his fluid and electrolytes through intake and output. The day I was on the floor, he was 4 days post-op. His intake on day 2 was 3890 and output was 1350. Day 3 intake was 5200 and output was 3900. I was not able to get all the data I wanted because we were asked to get off the floor shortly after lunch rather than after dinner time.

My thoughts on this is that he had major surgery. His body is compensating for the fluid lost during surgery. His intake was low 1 day post-op because he would have been NPO. The second day he probably had a liquid diet. I really hate that I do not have all of my information, so any input from an experienced nurse would be greatly appreciated.

[Daytonite, BSN, RN]

d5 1/2 ns with 20 kcl is hypertonic. here is a chart of iv solutions that you can download and copy:

[attach]5949[/attach]

you will find a discussion and description about hypotonic, isotonic and hypertonic iv solutions on post #22 of this thread

• https://allnurses.com/forums/f205/any-good-iv-therapy-nursing-procedure-web-sites-127657.html - any good iv therapy or nursing procedure web sites (in nursing student assistant forum)