IVF Study

TYPE OF
SOLUTION

CLASSIFICA
TION

CONTEN
T

MECHANISM
OF ACTION

INDICATION
S

Dextrose 5%
in Lactated
Ringers
Solution
(D5LRS)

- Hypertonic
Nonpyrogeni
c
- Parenteral
fluid
- Electrolyte
- Nutrient
replenisher

Electroly
tes
1000ml,

Hypertonic
solutions are
those that have
an effective
osmolarity
greater than the
body fluids. This
pulls the fluid
into the vascular
by osmosis
resulting in an
increase vascular
volume. It raises
intravascular
osmotic pressure
and provides
fluid, electrolytes
and calories for
energy.

- Treatment
for persons
needing
extra
calories who
cannot
tolerate fluid
overload.

- Hypertonic
Nonpyrogeni
c, parenteral
fluid,
electrolyte
and nutrient
replenisher

Sodium
130
mmol,
Potassiu
m
4 mmol,
Calcium
1.4
mmol,
Chloride
109
mmol,
Lactate
28
mmol,
Osmolali
ty 406
mOsm

- Treatment
of shock.

CONTRAINDICATION
S
Hypersensitivi
ty to any of
the
components.

HOW
SUPPLIE
D
- D5LRs is
supplied
in singledose
1000 mL
flexible
plastic
container
s.

DOSE

NURSING
RESPONSIBILITY

- 1000 mL
@ 30
gtts/min

- 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.
- Properly label the IV
Fluid
- Observe aseptic
technique when
changing IV fluid