Question

In: Anatomy and Physiology

You have a patient who is severely dehydrated and you need to rehydrate them intravenously. Which...

  1. You have a patient who is severely dehydrated and you need to rehydrate them intravenously. Which of the following solutions do you choose and why? For each solution describe why or why not you would choose it.

  • Distilled H20

  • 0.9% saline

  • 5.0% saline

Solutions

Expert Solution

0.9% saline( normal saline) is isotonic, meaning has the same concentration of sodium and other solutes as your body fluids.

Water is hypotonic , meaning concentration of dissolved solutes is less than that of your body fluid and cells.

Since water moves from an area of higher concentration ,an infusion of normal saline will not result in changes in fluids movement into or out of your blood stream and cells

Normal saline(0.9% saline) has an osmolality close to that of plasma. Any solution that has less salt will be hypo-osmolar. Rapid infusion of a hypo-osomolar solution can cause osmotically induced water shift into the cells, and this can lead to detrimental effects such as hemolysis. Addition of 5% dextrose ensures that the infused solution will have an osmolality equal to or higher than plasma regardless of the salt concentration.
A 5% dextrose solution provides at least some calories to a person who might have no other nutritional intake and will reduce catabolism.

The patient is with dehydration absolutely will have no energy so it is better to provide with 5% saline for both calories and dehydration


Related Solutions

1. The nurse is caring for a patient who is dehydrated (fluid volume deficit) as a...
1. The nurse is caring for a patient who is dehydrated (fluid volume deficit) as a result of vomiting. The nurse would anticipate which of the following lab data? Select all that apply. A. Elevated specific gravity B. Hct of 58% C. Increased BNP D. Potassium 3.2 mEq/L E. Urine dark amber 2. The nurse is caring for an elderly patient who is dehydrated as a result of vomiting. The nurse would anticipate which of the following clinical manifestations? Select...
After suffering a fall while hiking, you find yourself immobile and severely dehydrated. Should you drink...
After suffering a fall while hiking, you find yourself immobile and severely dehydrated. Should you drink your own urine as a means of improving your survival? Explain the effect of urine on your cells in terms of tonicity. How will dehydration influence the concentration of your urine?
The nurse is caring for a patient who is receiving a new antidysrhythmic medication intravenously. Explain...
The nurse is caring for a patient who is receiving a new antidysrhythmic medication intravenously. Explain the immediate nursing interventions and considerations (explain the rationale).   
A patient who is admitted to the hospital begins receiving 1 L IV solution intravenously as...
A patient who is admitted to the hospital begins receiving 1 L IV solution intravenously as a continuous infusion on Monday at 8:00 AM at a rate of 30 mL/hr. An order is received for the patient to increase the flow rate of the IV solution to 45 mL/hr. The nurse increases the rate at 12:30 PM on the same day. Calculate when would the nurse have to start another 1- liter IV bag for this patient? I. Monday at...
6. Diabetic Ketoacidosis can occur in a patient with severely uncontrolled diabetes. Which of the following...
6. Diabetic Ketoacidosis can occur in a patient with severely uncontrolled diabetes. Which of the following is a key contributor to the acidosis? a. uncontrolled gluconeogenesis during the absorptive and post-absorptive state b. Increased liver glycogenesis during the absorptive state c.Decreased ketone body production in the liver during the post-absorptive state 7. Which of the following statements regarding Type 1 diabetics is true? a. Type 1 debiatics cannot produce insulin b. Type 1 diabetics are typically treated with insulin sensitizers...
You have a patient allocated to you who have returned from ICU with a tracheostomy insitu...
You have a patient allocated to you who have returned from ICU with a tracheostomy insitu as well as an underwater seal drain after being ventilated for three weeks postoperatively. You must clean the tracheostomy and care for the UWCD. Write down the equipment required as well as the steps you will follow to perform the procedure to clean the tracheostomy and care for the UWCD.
Store owners need an application that allows them to determine which books and movies they have...
Store owners need an application that allows them to determine which books and movies they have rented. The application should save the general information of the borrowed items. The information of the book is: title, classification (genre), the number of pages and the author. The information in the second article is: title, duration, director and type of film. Do the necessary classes to represent the two articles. Each object in the classes must provide the following services: to show ask...
Hospitals should participate in involuntary sterilizations under which condition(s)? Select one: a. Patient is severely retarded,...
Hospitals should participate in involuntary sterilizations under which condition(s)? Select one: a. Patient is severely retarded, sexually active and unable to care for offspring b. Consent is signed by patient and guardian c. Court authorization is provided, following process and criteria established by case law or statute d. The hospital ethics committee has reviewed the case e. All of the above f. None of the above
The patient you are treating does not have a strong science background; explain to them (using...
The patient you are treating does not have a strong science background; explain to them (using complete sentences) how stimulation of skeletal muscle can result in different strength contractions using language which they can understand.
You are the Medical Assistant working in a pediatric clinic. Today you have a patient who...
You are the Medical Assistant working in a pediatric clinic. Today you have a patient who has been diagnosed with strep throat. This little one will be prescribed antibiotics to be taken over the next ten days. How would this drug be classified, and what information regarding the drug would you want to give to the patient’s parent?
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT