DRUG NAME MECHANISM OF INDICATION / Adverse Effects NURSING RESPONSIBILITIES

ACTION CONTRAINDICATION

GENERIC: Contain a high INDICATIONs:  swelling (edema) BEFORE:

Balanced Multiple concentration of solute Slow administration  blood clot in a vein. Dx:
Maintenace relative to another essential to prevent a. Monitor for fluid imbalances.
 abnormal rapid
Solution with 5% solution (e.g. the cell's overload (100 mL/hr) - b. Check for allergies.
breathing.
dextrose cytoplasm). When a Water intoxication - c. Assess vital signs
cell is placed in a Severe sodium  fever. Tx:
BRAND: hypertonic solution, the depletion  severe dehydration in a. Compute for how many mL/hr
D5IMB water diffuses out of diabetes. EDx:
the cell, causing the CONTRAINDICATION:  excess fluid in the blood. a. Ensure that IV was properly fixed
CLASS: cell to shrivel. phlebitis, peripheral  inflammation of a vein.
Hypertonic edema, cellular DURING:
 diarrhea.
solution Source: dehydration Dx:
http://www.tvdsb.on.c a. IV solution bags and syringes are to be
THERAPEUTIC a/WESTMIN/science/sbi replaced at least every 24 hours
For 3a1/cells/Osmosis.htm b. IV dressing changes are done as
maintenanace of necessary based on assessment. Do not
fluid and reinforce wet or soiled tapes - change
electrolytes them and ensure that tapes and IV
board are clean
PHARMACOLOGIC Tx:
: a. Should not be given to new born babies
whose body weight is low; patients who
DOSAGE: have damaged blood vessels and
150mL q 8hr weakened kidneys, and heart
problems.
ROUTE:
IV AFTER:
Dx:
 a. Volume infused and solutions infused
are documented hourly
b. Monitor for effectiveness as exhibited by
a decrease in symptoms
c. Monitor for side effects.
Tx:
a. Observe IV dressing to ensure that it is
clean and intact.
EDx:
a. Palpate and inspect site for puffiness,
redness, blanching, skin temperature
(very warm or very cool), wetness,
b. In very low birth weight infants,
excessive or rapid administration of
dextrose injection may result in
increased serum osmolality and possible
intracerebral hemorrhage.