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Side effects may include irritation of the vein in which it is given, high blood sugar, and swelling. [2] [3] Excess use may result in low blood sodium and other electrolyte problems. [2] Intravenous sugar solutions are in the crystalloid family of medications. [4] They come in a number of strengths including 5%, 10%, and 50% dextrose. [2]
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).
D5W: 5% Dextrose 0 0 278 5000 2/3 D5W & 1/3 NS 3.3% Dextrose / 0.3% saline 51 51 185 3333 Half-normal saline: 0.45% NaCl 77 77 0 0 Normal saline: 0.9% NaCl 154 154 0 0 Ringer's lactate: Lactated Ringer 130 109 0 0 D5NS: 5% Dextrose, Normal Saline 154 154 278 5000
Normal volume hypernatremia can be due to fever, extreme thirst, prolonged increased breath rate, diabetes insipidus, and from lithium among other causes. [1] High volume hypernatremia can be due to hyperaldosteronism, excessive administration of intravenous normal saline or sodium bicarbonate, or rarely from eating too much salt.
Side effects may include allergic reactions, high blood potassium, hypervolemia, and high blood calcium. [2] It may not be suitable for mixing with certain medications and some recommend against use in the same infusion as a blood transfusion. [4] Ringer's lactate solution has a lower rate of acidosis as compared with normal saline.
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Dextrose 5% and 10% come in IV bag and syringe form, and are mainly used in infants and to provide a fluid medium for medications. Dextrose 25% and 50% are heavily necrotic due to their hyperosmolarity, and should only be given through a patent IV line – any infiltration can cause massive tissue necrosis.