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ivf-pnss

ivf-pnss

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Published by donlyn

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Published by: donlyn on Aug 13, 2012
Copyright:Attribution Non-commercial

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09/12/2013

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TYPE OFSOLUTIONCLASSIFICATIONCONTENTMECHANISMOF ACTIONINDICATIONSCONTRA-INDICATIONSHOWSUPPLIEDDOSENURSINGRESPONSI-BILITIESPlainNormalSalineSolutionIsotonicThesolution is9 grams of sodiumchloride(NaCl)dissolvedin 1 liter of water. Themass of 1milliliter of normalsaline is1.0046grams at22°C. Themolecular weight of sodiumchloride isapproximately 58grams per mole, so58 gramsof sodiumchlorideequals 1Normal salinesolution hasan osmolalityof 308mOsm/L.Because theosmolality isentirelycontributedbyelectrolytes,the solutionremainswithin theECF, doesnot cause redblood cells toshrink or swell.Isotonic fluidsexpand theECF volume.ReplaceExtracellular FluidHyponatremiaHypochloremiaWater overloadmild metabolicacidosismedicationdiluentIV irrigantcompatible withblood.HeartfailurepulmonaryedemarenalimpairmentsodiumretentionParenteral1L at20gtts/min
BEFORE:
*Obtainhistory of thepatient’sfluid andelectrolytestatusbeforetherapyandreassessregularly.*Beforegiving thebottle,check for the correctpatient tobeadminister ed.*Check for the correctfluid to begiven.
 
mole.Sincenormalsalinecontains 9grams of NaCl, theconcentration is 9grams per liter dividedby 58grams per mole, or 0.154moles per liter. SinceNaCldissociatesinto twoions –sodiumandchloride –1 molar NaCl is 2osmolar.Thus, NScontains154mEq/Lof Na
+
andCl
DURING:
*Uponinsertingthechamber toanother,make surethat it isinsertedwell.*Be alert of fluidoverload*Check for thepatientscomfort
AFTER:
*Infuse theIV well toitsprescribedrate*Check for thepresenceof bubblesin the IV

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