Lactated Ringer's solution with 5% dextrose (D5LR) is a hypertonic, nonpyrogenic parenteral fluid used to treat fluid overload, provide extra calories, and treat shock. It contains electrolytes, dextrose for energy, and lactate which increases osmotic pressure and vascular volume. Nurses must use caution when administering it due to the sodium and dextrose content, avoiding excess administration which could cause metabolic issues or increased serum osmolality in very low birth weight infants.
Lactated Ringer's solution with 5% dextrose (D5LR) is a hypertonic, nonpyrogenic parenteral fluid used to treat fluid overload, provide extra calories, and treat shock. It contains electrolytes, dextrose for energy, and lactate which increases osmotic pressure and vascular volume. Nurses must use caution when administering it due to the sodium and dextrose content, avoiding excess administration which could cause metabolic issues or increased serum osmolality in very low birth weight infants.
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Lactated Ringer's solution with 5% dextrose (D5LR) is a hypertonic, nonpyrogenic parenteral fluid used to treat fluid overload, provide extra calories, and treat shock. It contains electrolytes, dextrose for energy, and lactate which increases osmotic pressure and vascular volume. Nurses must use caution when administering it due to the sodium and dextrose content, avoiding excess administration which could cause metabolic issues or increased serum osmolality in very low birth weight infants.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
TYPE OF CLASSIFICA CONTENT MECHANISM OF INDICATION CONTRA- HOW DOSE NURSING
SOLUTION TION ACTION INDICATION SUPPLIED RESPONSIBILITIES Lactated - Hypertonic Electrol Hypertonic - Treatment Hypersensiti 1000 mL 1L @ 30 > Do not administer Ringer’s - ytes in Solutions are for persons vity to any gtts/min. unless solution is Solution Nonpyrogen 1000 ml; those that have needing of the clear and container is with 5% ic, an effective extra components. undamaged. Dextrose parenteral Sodium- osmolarity calories who > Caution must be (D5LR) fluid, 130 greater than the cannot exercised in the electrolyte mmol body fluids. tolerate administration of and nutrient Potassiu This pulls the fluid parenteral fluids, replenisher m- fluid into the overload. especially those 4 mmol vascular by - Treatment containing sodium osmosis of shock. ions to patients Calcium resulting in an receiving - increase corticosteroids or 1.4 vascular corticotrophin. mmol volume. It >Solution containing Chloride raises acetate should be - 109 intravascular used with caution as mmol osmotic excess Lactate- pressure and administration may 28 mmol provides fluid, result in metabolic electrolytes and alkalosis. calories for >Solution containing energy. dextrose should be used with caution in (Potter2005:116 patients with known 1) subclinical or overt diabetes mellitus. > Discard unused portion. > In very low birth weight infants, excessive or rapid administration of dextrose injection may result in increased serum osmolality and possible intracerebral hemorrhage.