TYPE CLASSIFI CONTE MECHANISM OF INDICATIO CONTRA- HOW SUPPLIED DOSE NURSING RESPONSIBILITIES

OF CATION NT ACTION N INDICATIO

SOLUT N
ION

D5 0.3 Hyperton 513 mEq Contain a high Slow -phlebitis, 500 mL single 43-44 cc/hr > Do not administer unless solution is clear
Sodium
% ic concentration of solute administrati periphera dose container and container is undamaged.
NaCl 513 mEq
relative to another on essential l edema,
Chloride > Caution must be exercised in the
solution (e.g. the cell's to prevent
cellular administration of parenteral fluids,
overload
cytoplasm). When a dehydrati especially those containing sodium ions to
(100 mL/hr)
cell is placed in a on patients receiving corticosteroids or
-Water corticotrophin.
hypertonic solution,
intoxicati
the water diffuses out >Solution containing acetate should be used
on
of the cell, causing the with caution as excess administration may
-Severe
cell to shrivel result in metabolic alkalosis.
sodium
http://www.tvdsb.on.c depletion >Solution containing dextrose should be used
a/WESTMIN/science/ with caution in patients with known
sbi3a1/cells/Osmosis.h subclinical or overt diabetes mellitus.
tm > Discard unused portion.
> In very low birth weight infants, excessive
or rapid administration of dextrose injection
may result in increased serum osmolality
and possible intracerebral hemorrhage.

( Potter 2005: 1162)

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