Type of fluid

D5IMB
(Balanced Multiple
Maintenance Solution
with 5% dextrose)

Hypertonic solution



Content


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
Indications


Slow
administration
essential to prevent
overload (100 mL/hr)
-Water intoxication -
Severe sodium
depletion
Contraindications


-phlebitis, peripheral
edema, cellular
dehydration

How Supplied


500 mL single dose
container
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)