Thursday, January 4, 2024

Which of the following is associated with excessive infusion of of hypotonic fluids.. Hemolysis

Which of the following is associated with excessive infusion of of hypotonic fluids?

  • a- Hemolysis.
  • b- Hyperglycemia
  • c- Dehydration
  • d- Glycosuria
  • e- None of the above.

The most likely association with excessive infusion of hypotonic fluids is: a) Hemolysis

Here's why:

  • Hypotonic fluids have a lower concentration of solutes (like sodium) compared to the fluid inside red blood cells. This creates an osmotic gradient, drawing water into the cells to equalize the concentration.
  • Excessive fluid intake can further exacerbate this phenomenon, causing the red blood cells to swell and eventually rupture, a process called hemolysis.
  • Hemolysis can lead to a range of complications, including:

- Anemia:

due to the decreased number of red blood cells carrying oxygen.

- Jaundice:

from the breakdown of hemoglobin released by ruptured cells.

- Kidney problems:

as the kidneys struggle to filter out the debris from hemolyzed cells.

Other Options:

While the other options are not directly associated with excessive hypotonic fluids, here's a brief explanation for each:

b) Hyperglycemia:

This is typically associated with diabetes or other conditions affecting insulin production or utilization. Hypotonic fluids can indirectly affect blood sugar levels by impacting electrolyte balance, but it's not a direct consequence.

c) Dehydration:

This is the opposite of excessive fluid intake and wouldn't be caused by hypotonic fluids. In fact, hypotonic fluids are used to treat dehydration in some cases.

d) Glycosuria:

This is the presence of glucose in the urine, often associated with uncontrolled diabetes. While high blood sugar levels can sometimes lead to increased urination, it's not directly related to hypotonic fluids.

e) None of the above:

As explained, hemolysis is the most likely complication of excessive hypotonic fluid infusion.

Therefore, when considering the potential consequences of overhydration with hypotonic fluids, hemolysis should be at the top of the list. Remember, this information is for educational purposes only and shouldn't be used as a substitute for professional medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment of any medical condition.