DEOCARES, LAUDERDALE B.

MARCH 13, 2017

BSN2-D (NUTRITION LAB)

Different Types of IV Fluids Category Conditions Where it is Being Used

D5LRS Isotonic  Replaces fluid and buffers pH
 Hypovolemia due to third-space shifting.
 Dehydration
 Burns
 Lower GI tract fluid loss
 Acute blood loss

D5 0.3 NaCl Hypertonic  To compensate cellular dehydration and

corrects moderate fluid loss, prevents
alkalosis provides calorie and NaCl.
D5 0.45 NaCl Hypotonic  Water replacement
 Raises total fluid volume
 DKA after initial normal saline solution and
before dextrose infusion
 Hypertonic dehydration
 Sodium and chloride depletion
 Gastric fluid loss from nasogastric
suctioning or vomiting.

D5 0.9 NaCl Hypertonic  Hypotonic dehydration

 Replaces fluid sodium, chloride, and
calories.
 Temporary treatment of circulatory
insufficiency and shock if plasma
expanders aren’t available
 SIADH (or use 3% sodium chloride).
 Addisonian crisis

D5NR Hypertonic  Use for fluid and electrolytes resuscitation

especially by patients who suffered
significant blood loss due to trauma,
surgery, or burn injury as well as to
stimulate urine production in patients with
kidney failure.
 D5IMB Hypertonic  For maintenanace of fluid and electrolytes
especially to patients who
need calories and hydration.
 Used in pediatric patients for treatment of
dehydration, acidosis, diarrhea, or burns,
and in adults for postoperative fluid and
electrolyte therapy.
D5NM (Normosol-M) Hypertonic  Indicated for parenteral maintenance of
routine daily fluid and electrolyte
requirements with minimal carbohydrate
calories from dextrose.
 May help to prevent iatrogenic magnesium
deficiency in patients receiving prolonged
parenteral therapy.

Normosol-R Isotonic  Replaces fluid and buffers pH

 Indicated for replacement of
acute extracellular fluid volume losses
in surgery, trauma, burns or shock.
 Used as an adjunct to restore a decrease in
circulatory volume in patients with
moderate blood loss

PLRS Isotonic  Dehydration, burns, lower GI fluid loss,

acute blood loss, hypovolemia due to
blood loss and replacement of fluid and
electrolytes.
D5H2O (D5W) Isotonic  Raises total fluid volume.
 Helpful in rehydrating and excretory
purposes.
 Fluid loss and dehydration
 Hypernatremia

REFERENCE: Vera M. (2012) retrieved from: https://nurseslabs.com/iv-fluidsolution-quick-reference-guide-cheat-sheet/Retrieved on: March 10,2017.