Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
Name some different examples of ISOTONIC IV solutions & and why a patient might require this type of fluid.
Expert Solution
Step 1
Isotonic solution contains an electrolyte balance similar to plasma in bloodstream.
Examples are
- 0.9% normal saline with NaCl : this fluid is used when patient has lost the fluid volume from blood loss or trauma, diarrhea, Hyponatremia , severe vomiting etc. (this fluid has higher chloride content which sometimes cause renal vasoconstrictions affecting blood flow to the kidney)
- Lactated ringers : this fluid is used for dehydration for restoring hydration and fluid balance in the body during burn traumas ,often used during surgery. ( it is different from saline solution in a way that Lactated ringers contain less chloride content which can avoid renal vasoconstrictions)
- 5% dextrose in water (D5W) : provide free water to help renal excretion (this solution starts as isotonic then changes to hypotonic when dextrose is metabolized) generally used for hypernatremia.
- Ringers solution : this fluid is used for dehydration , sodium depletion and replace GI tract fluid losses.(this is different from LR in a way that ringers solution doesn't contain Lactate in it )
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