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Published by: Klarina Faith Tabangay Manalang on Jul 02, 2010
Copyright:Attribution Non-commercial


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Intravenous therapy
 It is a efficient and effective method of supplying fluids directly into the intravascular fluidcompartment and replacing electrolyte losses.It is the giving of liquid substances directly into a vein. Itcan be intermittent or continuous; continuous administration is called an intravenousdrip. The word intravenous simply means "within a vein", but is most commonly used torefer to IV Compared with other routes of administration, the intravenous route is one of the fastest ways to deliver fluids and medications throughout the body
To supply fluid when clients are unable to take in an adequate volume fluids by mouthTo provide salts needed to maintain electrolyte balanceTo provide glucose (dextrose), the main fuel for metabolismTo provide water-soluble vitamins and medicationsTo establish a lifeline for rapidly needed medicatio
Establish or maintain a fluid or electrolyte balanceAdminister continuous or intermittent medicationAdminister bolus medicationAdminister fluid to keep vein open (KVO)Administer blood or blood componentsAdminister intravenous anestheticsMaintain or correct a patient's nutritional stateAdminister diagnostic reagentsMonitor hemodynamic function
The Proportion of Body Fluids
 Intracellular fluids-40%
Interstitial-15%Intravascular -5%Transcellular -1-2%
The Intracellular Fluid
-Found inside the cell surrounded by a membrane.-This is compartment with the highest percentage of water in adults.The Extracellular FluidØFluid found outside the cells1. INTERSTITIAL FLUID-Found in between the cells2. INTRAVASCULAR FLUID-Found inside the blood vessels and lymphatic vessels3. TRANSCELLULAR FLUID-Found inside body cavities like pleura, peritoneum, CS
The Concept of TONICITY
-This is the concentration of solutes in a solution.-A solution with high solute concentration is considered as HYPERTONIC.-A solution with low solute concentration is considered as HYPOTONIC.-A solution having the same tonicity as that of body fluid or plasma isconsidered ISOTONIC
In a HYPERTONIC solution, fluidwill go out from the cell, the cell will shrink.In a HYPOTONIC solution, fluid will enter the cell, the cell will swell.In an ISOTONIC solution, there will be no movement of fluid
having same concentration of soluteas blood plasmause to restore vascular volumeexamples ( 0.9 Nacl/Normal SalineSolution, Lactated Ringer¶s/ abalanced electrolyte solution, 5%dextrose in water isotonic solutions such as NSS and LR initially remain in the vascular compartment,expanding vascular volume . assess clients carefully for signs of hypervolemia (bounding pulse and shortness of breath
is isotonic on initial administration but provides free water when dextrose ismetabolized , expanding intracellular and extracellular fluid volumes. Avoid in clientsat risk for increase ICP because it can increase cerebral edemaHave a greater concentration of solutes than plasma It draw fluid out of theintracellular and interstitial compartments to vascular compartment, expanding vascular volume. Do not administer to clients with kidney or heart disease or clientswho are dehydrated. Watch for signs and symptoms of hypervolemiaExamples; 5% dextrose in normalsaline/D5NSS, 5% dextrose in 0.45%Nacl, 5% dextrose in lactated Ringer¶s /D5LR

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