TYPE OF SOLUTI ON 5% Dextros e in Lactate d Ringer’ s Solutio n (D5LR)
CLASSI FICATI ON
CONTENT
MECHANISM OF ACTION
INDICATI ONS
CONTRAINDICATION S
HOW SUPPLIED
DOSE
NURSING RESPOSIBILITIES
hyperto nic
Each 100 ml contains: 600 mg NaCl, 300 mg Sodium Lactate, 30 mg KCl, 20 mgCaCl, 130 mEq/L sodium, 4 mEq/L potassium, 2.7 mEz/L calcium, 109 mEq/L chloride, 28 mEq/L lactate
Homeostasis through osmosis wherein homeostasis is the maintenance of body’s normal fluid volume and composition which increases intracellular fluid. (Ignatavicius & Workman, 2006, p.194, 214)
*rehydrat es
*use caution with cardiac heart failure, pulmonary edema, urinary obstruction, steroid therapy
500ml; 1000 ml intravenous fluid
20 gtts/min
RIGHT DRUG - determines accuracy of order. If order seems incorrect consult prescriber before administering. RIGHT DOSE – double check drug calculations. When unsure of calculations get a second opinion. RIGHT PATIENT – Verify patient’s identity by checking ID band and asking patient to state name. RIGHT ROUTE – administer drugs by their prescribed route. RIGHT TIME – follow agency’s routine medication administration schedule - stat orders should be given immediately
*has free water, salt and calories *electroly te and caloric replenish es
*may falsely increase blood urea nitrogen (BUN) *contraindicated in diabetic coma *not use in treatment of lactic acidosis *do not administer simultaneously with blood *must not be used in series of
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