TYPE OF CLASSIFICA CONTENT MECHANISM OF INDICATION CONTRA- HOW DOSE NURSING
SOLUTION TION ACTION INDICATION SUPPLIED RESPONSIBILITIES D5NM - Hypertonic Each When D5NM is Hypersensiti D5NM is 1000 > Do not administer - 1000 administered indicated for vity to any supplied in mL @ unless solution is Nonpyrogen mL intravenously, parenteral of the single-dose 30 clear and container is ic, contains Normosol-M maintenance components. 500 and gtts/min. undamaged. parenteral 5g of and 5% of routine 1000 mL > Caution must be fluid, Dextros Dextrose daily fluid flexible exercised in the electrolyte e Injection and plastic administration of and nutrient Monohy provides water electrolyte containers. parenteral fluids, replenisher drate, and electrolytes requirement especially those 234 mg (with dextrose s with containing sodium of as a readily minimal ions to patients sodium available source carbohydrat receiving chloride of e calories corticosteroids or 128 mg carbohydrate) from corticotrophin. of for maintenance dextrose. >Solution containing potassiu of daily fluid Magnesium acetate should be m and electrolyte in the used with caution as acetate requirements, formula excess tetrahyd plus minimal may help to administration may rate and carbohydrate prevent result in metabolic 30mg calories. The iatrogenic alkalosis. (approxi electrolyte magnesium >Solution containing mately composition deficiency dextrose should be 1.6 approaches that in patients used with caution in mmol/L) of the principal receiving patients with known of ions of normal prolonged subclinical or overt sodium plasma parenteral diabetes mellitus. Metabis (extracellular therapy. > Discard unused ulfate. fluid). The portion. electrolyte > In very low birth concentration is weight infants, hypotonic (112 excessive or rapid mOsmol/liter)in administration of relation to the dextrose injection extracellular may result in fluid (280 increased serum mOsmol/liter). osmolality and One liter possible intracerebral provides hemorrhage. approximately one-third of the ( Potter 2005: 1162) average adult daily requirement for water and principal electrolytes in balanced proportions, with acetate as a bircarbonate alternate,plus 170 calories from dextrose. (Potter 2005:1161)