The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?
1. 0.9% normal saline (NS)
2. D5 0.2% (¼) normal saline
3. D5W
4. Albumin
1
Explanation:
1. 0.9% normal saline (NS) is an isotonic fluid and maintains Na and chloride at present levels.
2. D5 0.2% (¼) normal saline would not be used initially but later, as maintenance fluids.
3. D5W can lower sodium levels, and so it would not be used to replace fluids in severe isotonic dehydration.
4. Albumin is used to restore plasma proteins.
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