D5ns Case Studies

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The therapy ordered by the doctor for the patient includes 1000 mL of Dextrose 5% in 0.90% sodium chloride (normal saline), or D5NS, with 30 mEq of potassium chloride, KCl, at 125 ml/hr, which is a hypertonic tonicity. The D5NS restores fluid balance in the body due to fluid loss caused by hypernatremia or the elevation of sodium levels in the body. The potassium chloride will be used to manage hypokalemia. The dilution of the drug must be checked and rechecked due to the high concentration. The nurse should assess the patient hourly for symptoms of excessive losses of fluid, sodium, or potassium as well asks the patient if there is any burning or pain at the IV site. The order of 100 mL of albumin 25% draws fluid from the interstitial
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