Docmoates: Add medication infobox (Drugbox) to monographs

2026-06-17T16:09:28Z

Add medication infobox (Drugbox) to monographs

← Older revision		Revision as of 16:09, 17 June 2026
Line 1:		Line 1:
			{{Drugbox
			\| name = Intravenous fluids
			\| therapeutic = IV fluid and electrolyte replacement
			\| pharmacologic = Crystalloid solutions by tonicity
			\| onset = Immediate during infusion.
			\| halflife = Not applicable; guided by clinical status and labs.
			\| routes = IV
			\| highalert = No
			\| blackbox = None
			\| antidote = Adjust the fluid plan; diuretics for overload.
			\| pregnancy = Used as needed.
			}}

	<div style="border-left:4px solid #3f6f5b;background:#f3f6f4;padding:8px 12px;margin-bottom:12px;font-size:0.95em;">		<div style="border-left:4px solid #3f6f5b;background:#f3f6f4;padding:8px 12px;margin-bottom:12px;font-size:0.95em;">
	''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''		''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''

Docmoates: NCLEX nursing pharmacology monographs — batch import

2026-06-17T14:05:59Z

NCLEX nursing pharmacology monographs — batch import

New page

<div style="border-left:4px solid #3f6f5b;background:#f3f6f4;padding:8px 12px;margin-bottom:12px;font-size:0.95em;">
''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''
</div>

'''Intravenous fluids''' — IV fluid and electrolyte replacement; Crystalloid solutions by tonicity.

== Identification ==
* '''Therapeutic class:''' IV fluid and electrolyte replacement.
* '''Pharmacologic class:''' Crystalloid solutions by tonicity.

== Pharmacology ==
* '''Mechanism of action:''' Isotonic fluids stay in the vascular space to expand volume; hypotonic fluids shift water into cells; hypertonic fluids pull water out of cells into the vascular space.
* '''Onset / peak / duration:''' Immediate during infusion.
* '''Half-life / therapeutic level:''' Not applicable; guided by clinical status and labs.

== Clinical use ==
* '''Indications:''' Isotonic for volume resuscitation and maintenance (normal saline, lactated Ringer's); hypotonic for cellular dehydration (0.45% saline); hypertonic for severe hyponatremia or cerebral edema (3% saline) and caloric needs.
* '''Usual dose, route, frequency:''' IV at a rate set by the clinical need.
* '''Maximum dose / adjustments:''' Adjust for cardiac, renal, and hepatic status; hypertonic saline through monitored access and slow correction.

== Safety ==
* '''Contraindications:''' Lactated Ringer's caution in liver failure and hyperkalemia; hypertonic saline requires careful sodium correction.
* '''Black box warning:''' None.
* '''Interactions:''' Lactated Ringer's contains potassium and calcium (incompatible with some drugs, including ceftriaxone in neonates and blood products).
* '''Pregnancy / lactation:''' Used as needed.
* '''High-alert:''' No.

== Adverse effects ==
* '''Common side effects:''' Local infusion effects.
* '''Serious effects to report:''' Fluid overload (crackles, edema, dyspnea), rapid sodium shifts (osmotic demyelination with too-fast correction), cellular swelling (overuse of hypotonic), phlebitis.
* '''Antidote / reversal:''' Adjust the fluid plan; diuretics for overload.

== Nursing process ==
* '''Assessment before administration:''' Volume status, electrolytes, lung and heart sounds, weight, the correct fluid order.
* '''Interventions during therapy:''' Verify the right fluid and rate; monitor for overload; correct sodium slowly; hypertonic saline through a monitored line.
* '''Monitor:''' Intake and output, weight, lung sounds, electrolytes (especially sodium), vital signs.
* '''Evaluation / expected outcome:''' Restored fluid and electrolyte balance.

== Patient teaching ==
* '''Patient teaching:''' Report shortness of breath or swelling.
* '''Notify provider if:''' Difficulty breathing, swelling, IV-site pain.
* '''Administration tips:''' Verify tonicity and rate; D5W becomes hypotonic in the body; hypertonic saline corrected slowly.

[[Category:IV Fluids]]

Intravenous fluids - Revision history

Docmoates: Add medication infobox (Drugbox) to monographs

Docmoates: NCLEX nursing pharmacology monographs — batch import