Dextrose 5% IV Solution (D5W)

Question 0

Actions (2)

Answer 0

1. Provides small amounts of glucose, which is rapidly utilized for cellular metabolism
2. Supplies body water

Question 1

Drug classification

Answer 1

Hypotonic solution (Crystalloid)

Question 2

Indications (2)

Answer 2

1. IV access for medication

2. Diluting solution for IVPB medications

Question 3

Contraindication

Answer 3

Volume replacement

Question 4

Adverse effects

Answer 4

Increases free water and may increase edema if large amounts are given

Question 5

Administration

Answer 5

Infuse at TKO rate using micro-drip tubing (30mcgtts/min)

Question 6

Pediatric

Answer 6

Not recommended

Question 7

Onset

Answer 7

Immediate

Question 8

Duration

Answer 8

Stays in vascular space from 20-40 min

Question 9

Precaution

Monitor infusion rate frequently

Answer 9

Rationale

Administering excessive fluids to patients with CHF or pulmonary edema may result in fluid overload

Question 10

Precaution

Do not administer Diazepam through D5W line

Answer 10

Rationale

Diazepam micro-precipitates in presence of D5W

Question 11

Note

Answer 11

Contains - 5 Gram of dextrose in 100ml of water

Solution is isotonic while in the bag. When administered, the dextrose is rapidly metabolized and infusion becomes hypotonic and leaves the vasculature

Not indicated for hypovolemia or for hypotensive patients with chest pain.

Monitor for sign of fluid overload by assessing

• LOC
• JVD
• breath sounds
• tidal volume
• respiratory rate
• dyspnea

Question 12

How supplied

Answer 12

50, 100, 250, 500 and 1,000 ml bags