NURS 5463 Fluid and Electrolytes Exam With
Complete Solutions
Normal osmolality - Answer 280-295 mOsm/kg
Osmolality of isotonic solution - Answer 250-375
osmolality of hypertonic solution - Answer >375
osmolality of hypotonic solution - Answer <250
Normal magnesium levels - Answer 1.8-2.4
normal calcium levels - Answer 4.4-5.2
NS can cause what negative affect - Answer acute kidney injury
LR can cause what negative affect - Answer cerebral edema in head injuries and hepatic
hypoperfusion
benefit of plasmalyte - Answer lower risk of hyperchloremic metabolic acidosis and can
be used with blood
if 3% given too fast it can cause - Answer intravascular volume overload
hypotonic saline contraindicated in - Answer head injuries
indication of ½ NS - Answer hypernatremia and free water deficit
rapid infusion of ½ NS may result in - Answer hemolysis of RBC resulting in depletion of
intravascular volume which progresses to cardiovascular collapse
dextrose in saline should be administered to which 3 types of patients - Answer
hypoglycemic, alcohol or fasting ketoacidosis, and with insulin to treat hyperkalemia
, dextrose in saline is contraindicated in which two patients - Answer uncontrolled dm
and hypokalemia
What type of osmolality is D5W - Answer hypotonic
D% ½ NS starts __ and ends - Answer hypertonic; hypotonic
D5LR starts __ and ends__ - Answer hypertonic; isotonic
D10W starts __ and ends __ - Answer hypertonic; hypotonic
colloids are harmful in which two types of patients - Answer ARDS and sepsis
albumin preserves ___ in critically ill - Answer renal function
albumin 5% has __ volume Answer larger
albumin 25% has __ volume and is more concentrated Answer less
early finding of hypovolemic shock Answer increased respirations
estimated sensible fluid loss Answer 30-50ml/hr
what lab should you monitor regularly when giving IV fluids Answer sodium
preferred fluid for SIADH treatment Answer isotonic
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