DRUG STUDY

GENERIC NAME: Dextrose 5% in Lactated Ringers Solution

(D5LRS) is useful for daily maintenance of body fluids and
nutrition, and for rehydration.
Brand name:
Drug Classification: • Hypertonic, Nonpyrogenic, Parenteral fluid, Electrolyte, Nutrient replenisher

TYPE OF SOLUTION
• Hypertonic
• Nonpyrogenic, parenteral fluid, electrolyte and nutrient replenisher
DOSAGE, ROUTE, SIDE EFFECTS and
FREQUENCY (prescribed and INDICATION MECHANISM OF ADVERSE REACTIONS
recommended) ACTION (by system)
• D5LRs is supplied in single- • Treatment for • Hypertonic
dose 500 and 1000 mL flexible persons needing extra solutions are those that
plastic containers. calories who cannot tolerate have an effective
fluid overload.
• 1000 mL @ 30 gtts/min or osmolarity greater than the
• Treatment of
as prescribed by the physician. body fluids. This pulls the
shock.
fluid into the vascular by
CONTENTS osmosis resulting in an
Electrolytes 1000ml increase vascular volume. It
Sodium 130 mmol raises intravascular osmotic
Potassium 4 mmol pressure and provides fluid,
Calcium 1.4 mmol electrolytes and calories for
Chloride 109 mmol energy.
Lactate 28 mmol
Osmolality 406 mOsm

NURSING RESPONSIBILITIES
CONTRAINDICATION/S (at least 10)
• Hypersensitivity to any
of the components. • 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

Patient’s Name / Room No.