Test tommorrow: Hypertonic/pulmonary Edema?

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Specializes in Telehealth, Hospice and Palliative Care.

Hi. Maybe someone can help me. I'm prepping for my Fluid/Electrolyte exam tomorrow.

My powerpoint says, in the IV therapy section, "Hypertonic solutions-use cautiously, may lead to pulmonary edema." It gives some examples: D5 in 0.9% NS, D10W, yyy.

How so? Wouldn't it take away pulmonary edema by drawing fluid into the vascular space?

Thanks for your time. Love nursing school. Hope to sleep someday!

Cokeforbreakfast

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Specializes in NICU, Psych, Education.

I moved your question to the Nursing Student Assistance Forum so that you get the quickest answers possible. Good luck to you!

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Specializes in ER, ICU, Medsurg.

Ok I'm going to attempt this, I could be way off base so hopefully daytonite or someone with more experience will come in behind and correct me if I'm wrong.

If your solution is Hypertonic you will be sucking the water out of the cells. In turn you will be increasing volume and pressure. The pressure on the vessels forces more fluid into the air sacs, preventing oxygen absorption.

Like I said, I could be way off base, but that's my amateur theory LOL

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Specializes in med/surg, telemetry, IV therapy, mgmt.

This was addressed on this post:

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