Case Study
Passage with linked questions
Case Set 1
Case AnalysisPassage
A nurse in a hospital is preparing intravenous (IV) fluids for patients. She knows that blood plasma has a specific ionic concentration, and any IV solution must match this osmotic pressure to prevent harm to blood cells. She prepares a normal saline solution containing 0.9% (mass/volume) NaCl in water. When a patient receives a hypotonic solution (less than 0.9% NaCl), water flows into the blood cells, causing them to swell and potentially burst. On the other hand, a hypertonic solution (more than 0.9% NaCl) causes water to exit the cells, making them shrink. The nurse must also calculate the molarity and osmotic pressure of the IV fluid before administration.
Question 1: What is the term for two solutions that have the same osmotic pressure at a given temperature?
- Two solutions having the same osmotic pressure at a given temperature are called isotonic solutions.
- No osmosis occurs when isotonic solutions are separated by a semipermeable membrane.
Question 2: Explain why blood cells placed in a solution containing less than 0.9% (mass/volume) NaCl swell, while those in more than 0.9% NaCl shrink.
- In a hypotonic solution (less than 0.9% NaCl), the osmotic pressure outside the cell is lower than inside. Water flows into the cell by osmosis, causing it to swell.
- In a hypertonic solution (more than 0.9% NaCl), osmotic pressure outside the cell is higher than inside. Water flows out of the cell by osmosis, causing it to shrink.
Question 3: Calculate the osmotic pressure of normal saline (0.9% mass/volume NaCl) at 37°C. Given: Molar mass of NaCl = 58.5 g/mol, R = 0.083 L bar mol⁻¹ K⁻¹, assume complete dissociation (i = 2).
- Concentration: 0.9 g per 100 mL = 9 g per 1000 mL = 9 g/L
- Moles of NaCl per litre = 9 / 58.5 = 0.1538 mol/L
- Temperature T = 37 + 273 = 310 K
- Osmotic pressure Π = i × C × R × T = 2 × 0.1538 × 0.083 × 310 = 7.93 bar (approximately 7.9 bar)