IV Solution Cheat Sheet Type 1/2 Normal Saline (1/2 NS) Ds 1/2. NS NormosoFR Description | Osmolality Use Miscellaneous 0.3% Nachin Tsotonic _ | Tnoreases Replaces losses without altering Weter (308 mosm) | circulating fluid concentrations, Crystalloid plasma volume |. Helpful for Na+ replacement Solution when red calls are adaquate 0.45% naclin | “Hypotonic | Raises total Useful for daily maintenance oF Water (154 mosm) | fluid voume body fluid, but is of less value crystalloid for replacement of acl deficit. Solution Helpful for establishing renel function Fluid replacement for clients who don’t nead extra glucose (ciabotics) Normal saline | _Teotonie | Replaces fuid |» Normal saline with Ke, Cart, with (275 mosm) | and butfors pH | and lactate (buffer) loctrolytos and Often soon with surgery buffer Dextrose S% in | Isotonie (in | Raises total Provides 170-200 water the bag) | uid volume. lories/1,000c¢ for energy Crystalloid “Physiologica | Helpful in Physiologically hypotonic - solution lly hypotonic | renydrating the dextrose is metabolized (260 mosm) | and excretory | quickly so that only water Purposes, romains =a hypotonic fluid Dextrose 5% in | Hypertonic [Replaces fuid |» Watch for fluid volume overload | 2.9% saline | (560 mOsm) | sodium, chloride, ond caloras. Dextrose 5% in | Hypertonic | Useful for daily | + Most common postoperative 0.45% saline | (406 mOsm) | maintenance fluid of body fluids and nutrition, and for rehydration: Dextrose 5% in | Hypertonic | Same a5 UR ‘Watch for fluid volume overioad | Lactated (575 mosm) | plus provides Ringer's about 180 caiones per 1000cc's. Normosol Teotonie | Replaces uid |~ pH 74 (295 mosm) | and buffers pH |. Contains sodium, chloride, ‘calcium, potassium and magnesium ‘Common fluid for OR and PACU