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Tonicity
the ability of a solution to cause a cell to gain or lose water
isotonic
neutral osmolarity
equal fluid in and outside of ell
hypertonic
osmolarity over 375
more fluid outside of cell than inside
hypotonic
osmolarity under 250
more fluid in cell than outside
crystalloids
water-soluble substances
diffuse rapidly
crystalloid solutions
dextrose, NS, LR, electrolytes, acid-base balance solutions
normal saline precautions
fluid overload
electrolyte imbalance
hemodilation
increased sodium
dextrose
carbohydrates, provide energy
dextrose indication
mix with other IV medications, provide calories, perienteral formulas, hypoglycemia
treatment (D50)
dextrose precautions
hyperglycemia
cannot be given with blood products (hemolysis) irritates veins
LR indication
same day surgery, loss of fluids, severe dehydration, aspirin overdose treatment
LR precautions
acid base imbalance
heart changes
incompatible with several medications
colloids
increase osmolarity of plasma, increasing its volume
larger molecules
colloid solutions
Albumin, dextran, mannitol, and gelatin
Intravascular Fluid Regulators