CNUR 103 Lecture Notes - Lecture 11: Water–Electrolyte Imbalance, Turgor Pressure, Hypodermoclysis

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Cnur 103 notes week 11 cont"d (intravenous therapy) Intravenous administration: why would an iv be indicated, dehydration, volume depletion (blood loss, electrolyte imbalance, medication administration. Assessment: nursing history, physical assessment, fluid volume deficit and dehydration basics. Skin turgor, labs: who is most at risk, clinical measurements, daily weights, used more when concerned about fluid retention, same time, same clothes, same scale. Subcutaneous infusions: hypodermoclysis, no venous access required directly into skin, effective to manage mild-moderate dehydration in adults, fabulous for palliative patients to receive parental analgesia, easy for the family to manage at home. Types of iv solutions: crystalloids, water, electrolytes, glucose, colloids, blood and blood products. Specific solutions: hypotonic solutions: contain less salt than in the intracellular space, osmolality less than 250mosm/l, moves h2o into the cell, hydrates the cells, examples, 0. 45 % nacl, 0. 33% nacl, 2. 5% dextrose in water.

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