Sodium chloride, sodium lactate, potassium chloride, and calcium chloride. Calcium chloride in water dissociates to provide calcium (Ca++) and chloride (Cl-) ions. Potassium is found in low concentration in plasma and extracellular fluids.
Sodium chloride, sodium lactate, potassium chloride, and calcium chloride. Calcium chloride in water dissociates to provide calcium (Ca++) and chloride (Cl-) ions. Potassium is found in low concentration in plasma and extracellular fluids.
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Sodium chloride, sodium lactate, potassium chloride, and calcium chloride. Calcium chloride in water dissociates to provide calcium (Ca++) and chloride (Cl-) ions. Potassium is found in low concentration in plasma and extracellular fluids.
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online from Scribd
NURS 1566 Clinical Form 3: Clinical Medications Worksheets
(You will need to make additional copies of these forms)
Generic Name Trade Name Classification Dose Route Time/frequency
sodium chloride, Lactated Ringers Fluid/electrolyte 1000 mL IV Q 24 hrs @ 42 mL/hr sodium lactate, replacement, blood potassium volume expander chloride, and calcium chloride Peak Onset Duration Normal dosage range Unknown Unknown Unknown The dose is dependent upon the age, weight and clinical (several sources (several (several sources condition of the patient as well as laboratory checked) sources checked) determinations. checked) Why is your patient getting this medication For IV meds, compatibility with IV drips and/or Extracellular fluid/ electrolyte replacement solutions There are many drugs that are incompatible with LR, some commonly used emergency medications that are incompatible are nitroglycerin, nitroprusside, norepinephrine, mannitol, procainamide, propranolol, methylprednisolone. Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Isotonic Solution. When administered No known contraindications. Use precaution with CHF, intravenously, these solutions provide sources of renal insufficiency, edema states with sodium retention, water and electrolytes. Their electrolyte content Hyperkalemia, metabolic or respiratory alkalosis, DO NOT resembles that of the principal ionic constituents of administer simultaneously with blood through same normal plasma and the solutions therefore are administration set because of the likelihood of coagulation. suitable for parenteral replacement of extracellular losses of fluid and electrolytes. Calcium chloride in Common side effects water dissociates to provide calcium (Ca++) and Fever, infection at administration site, venous thrombosis, chloride (Cl−) ions. They are normal constituents of extravasation, hypervolemia. the body fluids and are dependent on various physiologic mechanisms for maintenance of balance between intake and output. Approximately 80% of body calcium is excreted in the feces as insoluble salts; urinary excretion accounts for the remaining 20%. Potassium chloride in water dissociates to provide potassium (K+) and chloride (Cl−) ions. Potassium is found in low concentration in plasma and extracellular fluids (3.5 to 5.0 mEq/liter in a healthy adult). It is the chief cation of body cells (160 mEq/liter of intracellular water). Potassium plays an important role in electrolyte balance. Normally about 80 to 90% of the potassium intake is excreted in the urine; the remainder in the stools and to a small extent, in the perspiration. The kidney does not conserve potassium well so that during fasting or in patients on a potassium-free diet, potassium loss from the body continues resulting in potassium depletion. Sodium chloride in water dissociates to provide sodium (Na+) and chloride (Cl−) ions. Sodium (Na+) is the principal cation of the extracellular fluid and plays a large part in the therapy of fluid and electrolyte disturbances. Chloride (Cl−) has an integral role in buffering action when oxygen and carbon dioxide exchange occurs in the red blood cells. The distribution and excretion of sodium (Na+) and chloride (Cl−) are largely under the control of the kidney which maintains a balance between intake and output. Sodium lactate provides sodium (Na+) and lactate (C3H5O3−) ions. The lactate anion is in equilibrium with pyruvate and has an alkalizing effect resulting from simultaneous removal by the liver of lactate and hydrogen ions. In the liver, lactate is metabolized to glycogen which is ultimately converted to carbon dioxide and water by oxidative Interactions with other patient drugs, OTC or Lab value alterations caused by medicine herbal medicines (ask patient specifically) Serum electrolytes ↑ None for this patient Be sure to teach the patient the following about this medication Report any adverse effects, edema, difficulty breathing, angina to provider. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving Assess level of hydration med? Hydration/electrolyte status Occurrence of an adverse reaction. Overdose (overhydration, solute overload).