What are Nursing Considerations for Isotonic Solutions?
- because isotonic solutions expand the intravascular compartment, closely monitor the pt for sx of fluid overload, esp. if pt has HTN or HF
- bc the liver coverts lactate to bicarb, don't give lactated Ringer's solution if the pt exceeds 7.5
- avoid giving D5W to pt at risk for ICP bc it acts like a hypotonic solution. D5W is actually isotonic only in the container. After admin, dextrose is quicly metabolized, leaving only water (a hypotonic fluid)