IV fluid tonicity: Isotonic solutions, Hypotonic solutions, and Hypertonic solutions

[@israeldjd]

-school text book: $250 -hours spent reading text book and not understanding: 3-hours -you breaking it down in less than 15-minutes (I did have to watch it twice so 30-mins): PRICELESS!!!!

[@sarahtew3571]

israeldjd I AGREE ☝🏻

[@destinydaughter2307]

Same here

[@travesjohnson6850]

I absolutely loved the way this was drawn out and the concept was spot on. I love this video and I understand it!

[@smacpherson51]

Are you a teacher, tootRN? If not, you should be! I am always impressed with someone who can explain something so well, making it easy to understand!

[@tootRNLLCFortLauderdale]

I am an educator :) Thanks! tootRN is my company tutoring and mentoring nursing students! :)

[@smacpherson51]

Good deal!

[@reyescristy1988]

I cannot say enough great things about this video, thank you so much. You spoke just the right speed(not too fast or too slow). Great examples easy to remember. I was having such a hard time understanding this, thanks again

[@kristinasalmon4583]

I’ve been having such a hard time understanding how these solutions actually work and you described it perfectly! Thank you soooo much!

[@michaelbass8844]

Toot, thank you so much for this video. We are covering this in our interventions class and I could not grasp this at all. Thank you for your demonstration. The light has gone on now!!!

[@tootRNLLCFortLauderdale]

You're so welcome!!

[@ciarj25]

I watched this 2 years ago for Med Surg 1 and it helped me tremendously. Now I'm re-watching it again to prepare for my Nclex. Thank you! :)

[@craigtsadventures7414]

well done! by far the clearest overview of this particular subject i have seen on the net so far.you made it sound so simple

[@SaraRuss-gb8sg]

Wow you are amazing. It took me two weeks to get this until I came to your page !!!! Thank you so much :)

[@anyamj100]

Thank you so much for making this video available. It was very helpful and answers my questions as to why a patient will be receiving a particular solution at a certain time.

[@39mack23]

This video is just flawless! I'm definitely going to pass this Med surg test now! Thanks a bunch!

[@tootRNLLCFortLauderdale]

Ellis Frazier Awesome!

[@jasminemccoy3942]

This is suuuuuuuuch a good video. The way you connected such a elementary concept to patient care management was fantastic. Can't give this enough thumbs enough!

[@levicrossdechantel]

Thank you so much! :'( You don't know how long I've been wanting to learn this pat down especially since I'll be taking the boards soon. In almost all the other videos I've watched, they spoke in really highfalutin medical jargon that made it difficult to understand. The books didn't help much because they weren't able to deliver it the same way as you did. Yours was just right. I needed this.

[@omgshutup1384]

This video is so helpful!! Thank you. I have a test I a few days on fluids and electrolytes and now I finally understand the solutions and why we need to use them.

[@johnandrehenson9608]

This presentation makes my understanding about IV fluids very easy. Thank you so much! More power! God bless

[@jolandita2005]

Omgeee, this tutorial has helped me so much in understanding IV fluids! TY so much....You rock Toot

[@MrJohnwood1965]

Thank you very much for that very clear explanation of solutions, it was the simplest thing that helped me, when you showed hypo= swollen, and hyper = shrink...

[@sabinaakter9605]

Wao very very helpful for me.its very easy and simple.praying for you from my heart because i can hear it absolutely free.Salute to you.

[@mommymakesstuff]

Thank you so much for this! I have midterms next week and my book explanation is so complicated!

[@scrabblenut8480]

This video was fantastic! I FINALLY understand the differences. Thank you for explaining it so well

[@cblakemore5214]

Thank you so very much!! This is the best video I have found on this, reading my anatomy and physiology books were making me so confused and this has just clarified everything!

[@IggySalvador]

Just like someone else mentioned below, Im going to be writing my NCLEX next week and this saved from a certain fail. I feel much better now.

[@chempanda6388]

Very nice video. This topic makes more sense now after having learned it multiple times, but this video would have been best when learned the first time!

[@CaptainVelveeta]

You would give Nurse Sara a run for her money if you made more videos...you're an awesome teacher.

[@taniaalsayegh8058]

Best explanation ever, it made my life easier!!! love it!!!

[@reneelewis9346]

Thank you so much for posting this. You're a complete life saver! They really didn't get into examples of when to use these solutions in school!! This is a very clear explanation. Thanks again! =)

[@yafavvv.lighskinn4464]

This was the best video, explained perfectly.....

[@michellb9897]

thank you very much, finally i understood everything about IV Fluids...

[@kristyjensen291]

You did a great job breaking it down to understand!! Thank you!!

[@JosephSimeonIndia]

Wow that's amazing. . Love your teachings. . It's. Made simple and clear.. Thank you for sharing. .

[@TheBlanton14]

AEMT student, saved my grade. Ty.

[@portugal700]

amazing, thank you so much for this. I was struggling with this concept and you just explained it in a way where I grasped the concept easily!

[@RJB_FixinStuff]

Your videos are very helpful. Thank you so much.

[@TheOriginalLifestyle]

This was very helpful! Thank you! Do you have any practise questions?

[@minsohn8290]

Thank you for the video! But I could only hear on my left side of me earbuds. Is the recording done all this way?

[@222kamilah]

Perfect video for LVT's ....thanks,

[@liliamiguel3587]

This was helpful review:) as I'm prepping for Nclex!

[@isieboo6486]

Perfectly explained 👍🏼

[@viohleta]

Best video on this. So I have a question, if a patient has pulmonary edema would you give the patient a hypotonic solution ?

[@tootRNLLCFortLauderdale]

IV diuretics would be the first line... and other tx and fluid choices can vary based on if it's cardiogenic or non.

[@wzexrctvyb1]

Hi! This was a very helpful and clearly explained video, thank you so much. Could you possibly tell me what program you use to make the videos? I would like to make some videos for myself to look back on and learn. Thank you :)

[@tootRNLLCFortLauderdale]

Sketchbook :-)

[@Fritzline765]

Thank you. You explained it very well.

[@tvu123]

This video was very helpful! Thanks so much!

[@tootRNLLCFortLauderdale]

So glad you found this helpful!

[@bobmike6731]

This is the best video, thank you thank you.......

[@ApOutLaw135]

So what about a patient with severe burns? you would give iso or hyper? Or a patient with heart failure?

[@leeroy114]

For severe burns you would administer an Isotonic solution - in severe burns the patient is Hypovolemic (this means the patient has a low blood volume and it is due to the water loss he sustained from the burning/flames). In this case you need to increase the blood volume so you would administer an Isotonic solution.

[@levicrossdechantel]

You usually give them Lactated Ringers (An isotonic solution). Burn patients usually lose fluids as well as electrolytes (usually sodium and potassium). Lactated ringers is the chosen fluid because it contains not only water, but also Sodium and potassium which can essentially replenish whatever the patient has lost due to fluid shifting (with burn patients, fluids tend to escape from one body fluid compartment to another, hence, the electrolytes often escape alongside the fluid. EX: blistering or 2nd degree burns). Potassium and sodium are essential for life; Remember that potassium helps with heart relaxation or depolarization while sodium helps retain fluids within our body.

[@stacyhilderbrand7789]

thankyou sooo much for this.I actually am understanding it now!!!

[@lisapirone4623]

Great explanation..thanks so much!!

[@uyentang4571]

So…Thanks for the awesome video but if you could please help me verify this: Dextrose 50% is a hypertonic solution aiming to increase serum glucose, but administering it will cause the cells to shrink. the only contraindication for this is intracranial hemorrhaging, and is the reason behind this because we do not want to shrink the cell because the brain will be in need of the blood cells? Thanks!

[@tootRNLLCFortLauderdale]

Correct- Dextrose 50% should NOT be administered. This will decrease plasma osmolality and so increase the water content of brain tissue (the blood brain barrier acting as a semipermeable membrane).

[@mtnmorgan1]

tootRN, LLC. Interesting, I've heard intracranial hemorrhaging has been deemed, by some, a contraindication for administering D50 due to the hypertonic nature. As the thought of necrosis will occur. I'm learning that (especially in the case of a hypoglycemic patient) you push the D50, because by the time the D50 reaches the brain cells it will be diluted enough where contraindications will not occur. And the brain cells will receive the much needed glucose.

[@nancydugan3871]

EXCELLENT!! Very helpful! Thank you!

[@valeriefugere-phillips7178]

excellent teacher - thanks

[@anaisabelnunes8027]

Excellent video, thanks!

[@nkirukambajiofor7531]

This is so helpful, thanks a lot

[@NurseTAIWAN]

Hello, I am confused that why since Hypertonic solution can drag fluid from brain cell during brain edema and cause hypervolemia in blood vessel, but if we administer hypertonic IV to patients, we have to watch out for pulmonary edema. It looks like one side, it can decrease edema and other side can cause the edema.

[@vanessac1388]

Thank you so much!! this is exactly what I was looking for!! You make it so easy to understand..... You are so awesome! God bless!! ^_^

[@Politegirl686]

do burn victim recieve solutions that are isotonic like LR?

[@MandoLarian007]

+Emily Polite . Burn victims lose a lot of blood. According to what she said you give fluids to someone who's lost a lot of fluid. Since LR is a isotonic solution, LR would be a good choice along with other isotonic solutions.

[@maryanndumlao3576]

Thank you this is so helpful!!!

[@brendafarmer8314]

Thanks. This clarified a few things.

[@heatherparsons789]

Thank you so much! This helped me so much!

[@kaleshamarti6726]

This was very helpful thank you !

[@joytanilon9294]

Thank u for this video! Very helpful.😊

[@phibakorislanongbri5040]

How about mannitol and Icolyte -p ?

[@njebabe]

LOVE YOUR VIDEOS!! THANK YOU!!

[@hiphopdancerxd]

Im waiting for my EMT School to start February. Would this be important for me?

[@tootRNLLCFortLauderdale]

+Eliteshift95 For sure!

[@emartinsful]

Thank you so much Your explanation was very helpful

[@rhema14]

this video is super helpful!!!!! Thank you :)

[@crystalbanks95]

love it!! Got it!!! Thanks !!!

[@gilbertamanda1]

awesome video,, really made it easy,, thnkyou..:-)

[@tuilikaandreas4776]

Very helpful thank you!

[@masetadubar4220]

thank you so much for this! This was amazing!

[@raheenh5678]

loved it!!! thank you so much...

[@walidaldersi]

Well explained!

[@christiankelley3729]

My left ear loved this

[@craiggale1105]

Thank you very much

[@0552799948]

You all the best love ya

[@esmeaguilar02]

thank you!

[@cruzee1021]

thank you so much you're the best!!!!!

[@edbaarda8211]

thank you so much, makes more sense now.

[@vanessalogan102]

so helpful!! thank you :)

[@shale6223]

Great Job👍🏾👍🏾

[@oyetolababarinde7592]

thank you

[@Nurse_mici83]

helpful 😊thank you

[@anie-christianemayombi8473]

Thank you so much! I finally get it!

[@maicute07]

thank you! you're awesome! great video!

[@omgbamishott]

very helpful. Thanks so much!!

[@jacquelyntigue7451]

You're awesome💖

[@johndequito]

Thank you so much.

[@Kevkevkev763]

Excellent

[@posimani4]

awesome!

[@cristinagrau741]

Thanks!

[@johndequito]

Please keep making videos

[@jasminemonet1746]

Awesome

[@hilaltuncer6149]

I'm not sure about sth. You said hyponatremic patients get hypersonic solutions. We know that hypersonic draw the water from cells to plasma. And making plasma more watery. This will cause LOWER CONCENTRATION of Na. But then you said Na follows the water comes from cells and that's why Na levels at plasma will increase. Here is the thing that I don't understand : I thought water following Na. Not as "Na following water" the reason I thought this is water pass every membrane by osmosis but Na needs gates. So the logical statement should be : The water follows Na. The one which can pass every membrane follows the one which can not pass every membrane. Help me pls. I am so f.ckin confused....

[@hilaltuncer6149]

Hypertonic 😁 sorry.

[@hilaltuncer6149]

Oh shoot! I did understand!! The given hypertonic solution is %3-5 NaCl. So we are giving more Na pluuuuus causing water efflux from cell and that's how we are balancing the %3-5 Na. Because the given solution has soooo much Na inside that's why we need water from cells. To make it 0.9 again! Oh!! * I love you ppl! Thx for vid. BUT I STILL THINK WATER FOLLOWS Na :D

[@Kevkevkev763]

U should be a teacher

[@tootRNLLCFortLauderdale]

I am ;-)

[@garyou5084]

nice voice

[@joytanilon9294]

Thank u for this video! Very helpful.😊