NURS 499 Chapter Notes - Chapter 44 : Necrosis, Jugular Vein, Metabolic Acidosis

• School: University of Calgary
• Department: Nursing
• Course: NURS 499
• Professor: Robyn Dhanoa

Document Summary

I(cid:374)(cid:272)(cid:396)eased fluid i(cid:374)take o(cid:396)de(cid:396)ed as (cid:862)push fluids(cid:863) a(cid:396)e p(cid:396)es(cid:272)(cid:396)i(cid:271)ed fo(cid:396) (cid:272)lie(cid:374)ts (cid:449)ith a(cid:272)tual o(cid:396) potential fluid volume deficits arising. Ice chips, gelatin and ice cream are considered fluid. Potassium supplements may be needed for patients on corticosteroids and too many diuretics. Intravenous (iv) therapy is essential when clients are unable to take foods and fluids orally. Fluids go directly into the intravascular fluid compartment and replace electrolyte losses. Water is given for fluid requirements and carbohydrates for calories and energy. In d5w= 170 calories, useful in preventing dehydration and ketosis but do not provide enough calories to promote wound healing, weight gain, or normal growth in children. Isotonic: 0. 9% nacl (cid:894)n (cid:895), la(cid:272)tated (cid:396)i(cid:374)ge(cid:396)"s o(cid:396) (cid:396)i(cid:374)ge(cid:396)"s solution, and d5w: lactated ringer"s may be given to treat metabolic acidosis. Hypertonic: 5% dextrose in normal saline, 5% dextrose in 0. 45% nacl, and 5% dextrose i(cid:374) la(cid:272)tated ri(cid:374)ge(cid:396)"s. Use distal veins of the arm first.