Tag Archive | IVF

Intravenous Fluid Comparison

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Isotonic
Dextrose 5% in water
(D5W)
• Fluid loss
• Dehydration
• Hypernatremia
• Use cautiously in renal and cardiac patients
• Can cause fluid overload

Isotonic
0.9% sodium chloride
(Normal Saline)
(NaCl)
• Shock
• Hyponatremia
• Blood transfusions
• Resuscitation
• Fluid challenges
• DKA
• Can lead to overload
• Use with caution in patients with heart failure or
edema
Isotonic Lactated Ringer’s
(LR)
• Dehydration
• Burns
• Lower GI fluid loss
• Acute blood loss
• Hypovolemia due to
third spacing
• Contains potassium, don’t use with renal failure
patients
• Don’t use with liver disease, can’t metabolize lactate

Hypotonic

0.45% sodium chloride
(1/2 normal saline)
• Water replacement
• DKA
• Gastric fluid loss
from NG or vomiting
• Use with caution
• May cause cardiovascular collapse or increased
intracranial pressure
• Don’t use with liver disease, trauma, or burns
Hypertonic Dextrose 5% in ½
normal saline
• Later in DKA
treatment
• Use only when blood sugar falls below 250 mg/dL
Hypertonic Dextrose 5% in normal
saline
• Temporary treatment
for shock if plasma
expanders aren’t
available
• Addison’s crisis
• Don’t use n cardiac or renal patients

Hypertonic

Dextrose 10% in water
• Water replacement
• Conditions where
some nutrition with
glucose is required
• Monitor blood sugar levels

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