IV Solution Quick Reference

*Note nursing consideration specific to solution type (osmolality) Type Description

0 !" Na#l in $ater #rystalloi% Solution

Osmolality

Use
Increases circulatin( plasma )olume *+en re% cells are a%e,uate

Miscellaneous
-Replaces losses *it+out alterin( flui% concentrations -.elpful for Na/ replacement -Useful for %aily maintenance of 5o%y flui%6 5ut is of less )alue for replacement of Na#l %eficit -.elpful for esta5lis+in( renal function -7lui% replacement for clients *+o %on8t nee% e9tra (lucose (%ia5etics) -Normal saline *it+ </6 #a//6 an% lactate (5uffer) -Often seen *it+ sur(ery ->ro)i%es 0;0-200 calories106000cc for ener(y =>+ysiolo(ically +ypotonic -t+e %e9trose is meta5oli@e% ,uickly so t+at only *ater remains - a +ypotonic flui%

Normal Saline (NS)

Isotonic (&0' mOsm)

012 Normal Saline (012 NS)

0 34" Na#l in $ater #rystalloi% Solution

.ypotonic (043 mOsm)

Raises total flui% )olume

:actate% Rin(er8s (:R)

Normal saline *it+ electrolytes an% 5uffer

Isotonic (2;4 mOsm)

Replaces flui% an% 5uffers p.

D4$

De9trose 4" in *ater #rystalloi% solution

Isotonic (in t+e 5a() =>+ysiolo(ical ly +ypotonic (2?0 mOsm)

Raises total flui% )olume .elpful in re+y%ratin( an% e9cretory purposes Replaces flui% so%ium6 c+lori%e6 an% calories Useful for %aily maintenance of 5o%y flui%s an% nutrition6 an% for re+y%ration Same as :R plus pro)i%es a5out 0'0 calories per 0000cc8s Replaces flui% an% 5uffers p.

D4NS

De9trose 4" in 0 !" saline

.ypertonic (4?0 mOsm)

-$atc+ for flui% )olume o)erloa%

D4 012 NS

De9trose 4" in 0 34" saline

.ypertonic (30? mOsm)

-Most common postoperati)e flui%

D4:R

De9trose 4" in :actate% Rin(er8s

.ypertonic (4;4 mOsm)

-$atc+ for flui% )olume o)erloa%

Normosol-R

Normosol

Isotonic (2!4 mOsm)

- p. ; 3 - #ontains so%ium6 c+lori%e6 calcium6 potassium an% ma(nesium - #ommon flui% for OR an% >A#U