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Nursing Exam Prep [NCLEX-RN] 38, Fluid and Electrolyte Balance
Nursing & Healthcare Exam Prep · Ran Chen, EA, CFP®
February 19, 20263m 27s
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Show Notes
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams.
In this episode you will learn:
• Isotonic solutions like 0.9% Normal Saline are used for fluid volume deficit and shock because they stay in the vascular space.
• Hypotonic solutions like 0.45% Normal Saline rehydrate cells and are used in conditions like DKA after initial stabilization.
• A critical NCLEX trap is that hypotonic solutions are strictly contraindicated in patients with increased intracranial pressure as they worsen cerebral edema.
• Hypertonic solutions like 3% Saline are used as an emergency treatment for cerebral edema because they pull fluid out of swollen brain cells.
• Always question an order for Lactated Ringer's in patients with renal failure or hyperkalemia, as its potassium content can be harmful.
For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or Youtube Channel: https://www.youtube.com/@Open-exam-prep