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IV Fluid Comparison and Uses

This document describes various intravenous fluid types including their composition, osmolality, uses, and miscellaneous notes. Normal saline (0.9% NaCl) is isotonic and replaces fluid losses without altering concentration. Half normal saline (0.45% NaCl) is hypotonic and useful for daily fluid maintenance. Lactated Ringer's solution contains electrolytes and buffers pH. D5W (5% dextrose in water) provides calories and is hypotonic once dextrose is metabolized. D5NS and D5 1/2NS combine dextrose and saline for calories and fluid/electrolyte replacement.

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Jhensczy Hazel Maye Alba
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514 views1 page

IV Fluid Comparison and Uses

This document describes various intravenous fluid types including their composition, osmolality, uses, and miscellaneous notes. Normal saline (0.9% NaCl) is isotonic and replaces fluid losses without altering concentration. Half normal saline (0.45% NaCl) is hypotonic and useful for daily fluid maintenance. Lactated Ringer's solution contains electrolytes and buffers pH. D5W (5% dextrose in water) provides calories and is hypotonic once dextrose is metabolized. D5NS and D5 1/2NS combine dextrose and saline for calories and fluid/electrolyte replacement.

Uploaded by

Jhensczy Hazel Maye Alba
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
  • Infusion Solutions Overview

PRYLL JOHN O.

COLITA
Type
Normal
Saline
(PNSS)

Normal
Saline

BSN-III

Description
0.9% NaCl in
water
Crystalloid
solution

Osmolality
Isotonic
(309
mOsm)

0.45% NaCl
in water
Crystalloid
solution

Hypotonic
(154
mOsm)

Use
Increases
circulating
plasma volume
when red cells
are adequate.
Raises total fluid
volume

Normal saline
with
electrolytes
and buffer

Isotonic
(275
mOsm)

D5W

Dextrose 5%
in water
Crystalloid
solution

Isotonic (in
the bag)
Physiologic
ally
hypotonic
(260
mOsm)

Raises total fluid


volume. Helpful
in rehydrating
and excretory
purposes.

Dextrose 5%
in 0.9%
saline
Dextrose 5%
in 0.45%
saline

Hypertonic
(560
mOsm)
Hypertonic
(406
mOsm)

D5LR

Dextrose 5%
in Lactated
Ringers

Hypertonic
(575
mOsm)

Normos
ol - R

Normosol

Isotonic
(295
mOsm)

Replaces fluid
sodium, chloride
and calories
Useful for daily
maintenance of
daily body fluids
and nutrition,
and for
rehydration
Same as LR plus
provides about
180 calories per
1000 cc
Replaces fluid
and buffers pH

D5NS

D5
NS

Replaces fluid
and buffers pH

Lactate
d
Ringers
(LR)

Miscellaneous
Replaces losses
without altering
fluid concentration.
Helpful for Na+
replacement
Useful for daily
maintenance of
body fluid, but is of
less value for
replacement of NaCl
deficit.
Helpful for
establishing renal
function.
Fluid replacement
for clients who dont
need extra glucose
(diabetics)
Normal saline with
K+, Ca+, and
lactate (buffer)
Often seen with
surgery
Provides 170-200
calories/1000 cc for
energy.
Physiologically
hypotonic the
dextrose is
metabolized quickly
so that only water
remains a
hypotonic
Watch for fluid
volume overload

Most common
postoperative fluid

Watch for fluid


volume overload

Ph 7.4
Contains sodium,
chloride, calcium,
potassium and
magnesium
Common fluid for
OR and PACU

Type Description Osmolality Use Miscellaneous Normal Saline (PNSS) 0.9% NaCl in water Crystalloid solution Isotonic (309 mOsm

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