Question

With hypertonic solutions watch for fluid volume __________. Monitor in an ICU setting with frequent monitoring of ___________, ____________, and ____________ especially if receiving a solution with high sodium such as 3% NS or 5% NS

a) Overload, blood pressure, heart rate, and urine output
b) Depletion, blood sugar, respiratory rate, and temperature
c) Balance, electrolytes, glucose levels, and respiratory rate
d) Deficiency, liver function, kidney function, and blood pH

Answer 1

In the case of hypertonic solutions, it is critical to monitor for fluid volume deficiency and regularly check blood pressure, heart rate, and urine output, particularly when high sodium solutions like 3% or 5% NS are used.

Step-by-step explanation:

With hypertonic solutions, watch for fluid volume deficiency. In an ICU setting, frequent monitoring of blood pressure, heart rate, and urine output is crucial, especially if the patient is receiving a solution with high sodium content, such as 3% NS (Normal Saline) or 5% NS. This vigilant monitoring is necessary to manage the risks associated with hypertonic solutions, which can lead to dehydration, as they cause a net loss of body water producing dehydration due to the flow of fluid from the tissues into the blood. Hypertonic solutions increase the osmotic pressure of the blood and have a higher osmolarity compared to the cells, resulting in water leaving the cells to dilute the extracellular fluid.