increased osmolality
dehydration
decreased osmolality
overhydration
NS
154 Na, 154 Cl
- isotonic crystalloid
- will cause hypokalemia
LR
Na 130, K 4, calcium 2.7, Cl 109, lactate 28
-isotonic
- hyperkalemia, high lactate
3% NaCl
treats head injury; lowers ICP
- hypertonic
D5 0.45 NS
77 Na, 77Cl, 50 dextrose
- hypertonic in bag, iso in body
- hyponatremia
- 1st choice for maintenance
0.45% NaCl, D5W, 3.3% dextrose 0.3% sodium, D5 0.2% NaCl
hypotonic fluids
- goal is to rehydrate cells
D5W
hypotonic
3.3% dextrose, 0.3% sodium
hypotonic
D5 0.2% NaCl
hypotonic
hyponatremia treatment
D5NS
hypernatremia
diuretics
hyperkalemia
kayexalate
hypokalemia
KCL