Type of fluid

Content

Indications

Contraindications

How Supplied

Nursing Responsibilities > Do not administer unless solution is clear and container is undamaged. > Caution must be exercised in the administration of parenteral fluids, especially those containing sodium ions to patients receiving corticosteroids or corticotrophin .>Solution containing acetate should be used with caution as excess administration may result in metabolic alkalosis .>Solution containing dextrose should be used with caution in patients with known 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. ( Potter 2005: 1162)

D5IMB (Balanced Multiple Maintenance Solution with 5% dextrose) Hypertonic solution

Formulation: Electrolytes in 1000 mL Sodium= 25 mmol Potassium= 20 mmol Magnesium= 1.5 mmol Acetate= 23 mmol Chloride= 22 mmol Phophate= 3 mmo lOsmolarity= 350 mmol lpH= 4-6.5

Slow -phlebitis, peripheral administration essential to edema, cellular prevent overload (100 dehydration mL/hr) -Water intoxication -Severe sodium depletion

500 mL single dose container