| 2026 UPDATE | 100% CORRECT.
1. Fluid Assessment: Deficit: - BP low
- Pulse fast (compensation)
- Increased vascular volume
- Neck veins not too visible
- Mucous membranes dry
- Decreased body weight
2. Fluid Assessment: Overload: - Elevated BP
- Pulse elevated
- Bounding neck veins
- Increased vascular volume (edema, pulse bounding)
- Mucous membranes normal
- Body weight increased
3. Reasons for IV Therapy: - Maintain or restore fluid volume
- To replace or correct fluids and electrolytes
- Route for medication administration
- To transfuse blood or blood components
- To provide nutritional support (TPN and lipids)
4. What is IV Therapy? IV therapy is a prescribed therapy based upon the pt's condition and treatment
plan
5. Essentials for Nurses in IV Therapy: - Assess/reassess PIV completely based on
policy
- Follow hospital guidelines and policy to establish and maintain
- Understanding of ordered IV fluids in context of pt's condition
- Provide pt education as indicated
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, 6. Nursing Concepts for Fluid Management: - Lab findings
- Overload/deficit
- Fluid restriction
- Intake/output
- 24-hour fluid balance
7. Common IV Solutions: 1) Isotonic
2) Hypertonic
3) Hypotonic
4) Plasma Expander (Colloids)
8. Isotonic Solutions: - Generally, have a 'normal' osmolarity as serum and other body fluids
- STAYS where it is infused - intravascular system
- The least irritating to endothelial lining of vein wall
9. Examples of Isotonic Solutions: - Ringers Lactate (RL or LR) - 275 mOsm/L
- Normal Saline (NS) - 308 mOsm/L
- 5% Dextrose in Water (D5W) - 252 mOsm/L
- 5% Albumin - 308 mOsm/L
10. Hypertonic Solutions: - Osmolarity is higher than serum osmolarity
- PULLS fluid from interstitial and intracellular compartments
- Greatly expand intravascular compartment (watch for circ. overload)
- Pull from cellular compartment
- May be used cautiously to decrease edema (cerebral, pulmonary, peripheral)
- Do NOT give to pts with renal or cardiac impairment
- Increased risk of vessel damage
11. Examples of Hypertonic Solutions: - 5% Dextrose in 0.45% Saline (D5/1/2S) - 406
mOsm/L
- 5% Dextrose in NS (D5NS) - 560 mOsm/L
- 10% Dextrose (D10W)
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