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[9] and in certain intravenous fluids to solubilize other factors, such as iron (in a solution known as Iron Dextran). Intravenous solutions with dextran function both as volume expanders and means of parenteral nutrition. Such a solution provides an osmotically neutral fluid that once in the body is digested by cells into glucose and free water.
Saline solution for irrigation. Normal saline (NSS, NS or N/S) is the commonly used phrase for a solution of 0.90% w/v of NaCl, 308 mOsm/L or 9.0 g per liter. Less commonly, this solution is referred to as physiological saline or isotonic saline (because it is approximately isotonic to blood serum, which makes it a physiologically normal solution).
Dakin's solution is a dilute solution of sodium hypochlorite (0.4% to 0.5%) and other stabilizing ingredients, traditionally used as an antiseptic, e.g. to cleanse wounds in order to prevent infection. [1] The preparation was for a time called also Carrel–Dakin solution or Carrel–Dakin fluid. [2]
Intravenous sugar solution, also known as dextrose solution, is a mixture of dextrose (glucose) and water. [1] It is used to treat low blood sugar or water loss without electrolyte loss. [ 2 ] Water loss without electrolyte loss may occur in fever , hyperthyroidism , high blood calcium , or diabetes insipidus . [ 2 ]
In the form of fibres trapped in a wound, alginate is readily biodegradable [15] and can be rinsed away with saline irrigation. Subsequent removal therefore, does not destroy granulation tissue, making dressing change virtually painless. The ease of biodegradation is exploited in making alginate sutures used in surgical wound closures.
Ferric subsulfate (also known as Monsel's solution) is often used by Jewish burial societies (chevra kadisha) to stop post-mortem bleeding.Since Jewish burial does not allow any external skin adhesives such as bandages, tape, glue or resin, ferric subsulfate is an effective way to stop post-mortem bleeding.
After a few days the dressing has a tendency to dry out, and must be changed often. Left on too long, it can engage with wound tissue and wound secretions when drier, and be more difficult to remove. [4] This tendency to adhere to wounds is usually resolved by soaking the wound for a few minutes with normal saline. [3]
Some of the solutions that are used include 32% Dextran (outdated and known anaphylactic), normal saline, Ringer's lactate with or without heparin (5000 IU in 200 ml) and Adept (4% icodextrin).
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