IV Fluids and Therapy: What’s Hanging?
This lecture we’re going to focus on the two classes of IV fluids that can be administered by veins: Crystalloids & Colloids
Six Rights of IV Fluid Administration:
- Drug (Fluid)
There are two classes of IV fluids that can be administered by veins: Crystalloids & Colloids
Crystalloids- Hypotonic, Isotonic, Hypertonic solutions
Colloids-Blood, Plasma, Human Albumin
- Isotonic- It has same osmolarity as body fluid (0.9 NS, LR)
- Hypotonic- It has a lower osmolarity than body fluid (D5w, 0.45 NS)
- Hypertonic- It has a higher osmolarity than body fluid (3%NS, 5%NS)
Name a reason to give each kind of Crystalloid?
- Isotonic – Dehydration
- Hypotonic – Hypernatremia
- Hypertonic – Ascites, 3rd Spacing
**Remember IV + Oral fluids can cause fluid overload**
NCLEX Question: Which type of IV fluid do you never give to a client with Increased Cranial Pressure?
Answer: Hypotonic solution because it will increase cerebral edema.
NCLEX IV site care:
- Inspect site q 2 hours
- IV dressing should be clean, dry, secure
- IV site should be free from redness, swelling, and tenderness
NCLEX Question: If you notice your client’s IV site was red, swollen, and painful to the touch would you flush to assess patency?
Answer: No discontine IV, notify MD and document
NCLEX Tip: You already know everything you need to pass the NCLEX, we just have to review in order to bring it to the front of your mind! Good luck studying 🙂