Hypertonic Solution – Intravenous Therapy

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Hypertertonic Solution D5NS
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5% dextrose in normal saline
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Hypertonic Solution D5LR
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5% dextrose in lactated ringers
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Hypertonic Solutions D10W, D20W, D50W
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D10W = 10% dextrose in water.
D20W = 20% dextrose in water.
D50W = 50% destrose in water.
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Hypertonic Solutions D10W, D20W, D50W
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D10W = 10% dextrose in water.
D20W = 20% dextrose in water.
D50W = 50% destrose in water.
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Hypertonic Solution Concentration
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Higher concentration of solutes than plasma. (More solutes than fluid)
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Action of hypertonic solutions
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Causes fluid to shift from cells into vascular compartment, expanding vascular volume.
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Which hypertonic solution is used for hypoglycemia?
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D50W (50% dextrose in water)
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Which hypertonic solution is used as a “stand by” agent for TPN?
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D10W (10% dextrose in water)
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Nursing Implications – Dont Give Hypertonic Solutions
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Dont give if patient is dehydrated.
Dont give if patient has kidney or heart disease.
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S&S to monitor for with use of hypertonic solutions
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hypervolemia
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S&S of hypervolemia
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Bounding pulse.
Shortness of breath.
Distended neck veins.

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