A patient with anorexia nervosa is admitted to the hospital for medical treatment. The patient presents with severe malnutrition and evidence of organ dysfunction. Labs are drawn and continuous intravenous (IV) fluids are initiated.
-The RN prepares to initiate IV fluid therapy for the patient.Knowing the importance of cellular energy production,which of the following maintenance IV fluids would be most appropriate for the physician to order?

Question

Quizplus · Accepted Answer

The best choice would be 0.9% sodium chloride with dextrose as it provides both fluids and carbohydrates for energy production. Anorexia nervosa patients typically have low blood glucose levels due to lack of food intake, and the dextrose in this solution would help provide glucose for the body's energy needs. The 0.9% sodium chloride provides electrolyte balance and helps restore intravascular volume. Lactated ringers and 0.45% sodium chloride lack the additional carbohydrates needed for adequate energy production.

A Patient with Anorexia Nervosa Is Admitted to the Hospital