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IV solution D5 W

Dosage 1L x 1015gtts/min

Class Mode of Action Isotonic (crystalloids)

indication Provides free water necessary for renal excretion of solutes.Used to replace water losses and treat hypernatremia. Provide 170 calories/L To provide a vehicle for the mixing and administration of medications. As a secondary source of dextrose for hypoglycaemia..

Contraindication Untreated hyperglycemia.In patients needing volume fluid replacement for hypovolemia (not a substitute for Lactated Ringers or normal saline).

Adverse reaction Hyperkalemia, hypernatremia / hyperchloremia& conditions arising from them eg. edema, certain cardiac diseases. Rarely , hypermagnesemia / hyperphosphatemia

Nursing Responsibilities Know the clients normal range of vital signs before instituting intravenous therapy. Altered fluid or electrolyte imbalances can affect the vital signs. o Know the clients developmental stage. The proportion of the total body water to body mass changes from infancy to older adult years. o Know the clients weight. Body size affects total body water. o Learn all directions for preparation and usage. Inspect it visually for particles or discoloration. store and discard needles and medical supplies safely o

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