2024年12月11日 · 50% Dextrose Injection is indicated in the treatment of insulin hypoglycemia (hyperinsulinemia or insulin shock) to restore blood glucose levels.

2024年8月9日 · Dextrose 50% in Water (D50W) Another hypertonic IV solution used commonly is Dextrose 50% in Water (D50W) which is used to treat severe hypoglycemia and is administered rapidly via IV bolus. Nursing Considerations for Hypertonic IV Fluids. The following are the general nursing interventions and considerations when administering hypertonic IV ...

Significant hypokalemia may occur from administration of potassium free IV dextrose solutions. Significant hyponatermia or water intoxication may occur from low sodium or sodium-free IV dextrose...

2019年5月22日 · D50W is an extremely hypertonic solution (~2500 mOsm/L) even when compared to an 8.4% sodium bicarbonate (~2000 mOsm/L)! Infusion through a peripheral IV can result in pain, thrombophlebitis, extravasation, and even tissue necrosis!

2025年2月1日 · Dextrose injection is a sterile solution used to provide your body with extra water and carbohydrates (calories from sugar). It is used when a patient is not able to drink enough liquids or when additional fluids are needed. Dextrose is used in many different medical conditions. This medicine is available only with your doctor's prescription.

2023年4月1日 · The traditional treatment has been 50-100 ml of D50W (1-2 ampules of D50W). This is readily available and easy to administer. D10W is another option (~100-200 ml usually; may be pushed in several 50-ml boluses). Advantages: D10W is less irritating to the veins than D50W. D10W may have a lower risk of overshoot hyperglycemia.

50% hypertonic glucose solution in 50 ml vial (500 mg/ml), for slow IV injection (3 to 5 minutes). NEVER BY IM OR SC INJECTION. Check blood glucose level 15 minutes after injection. If blood glucose level is still < 3.3 mmol/litre or < 60 mg/dl, administer a second dose or give oral glucose, according to the patient's clinical condition.

2024年11月11日 · Dextrose 5% in water is injected into a vein through an IV to replace lost fluids and provide carbohydrates to the body. Dextrose 5% in water is used to treat low blood sugar (hypoglycemia), insulin shock, or dehydration (fluid loss).

所以 D5W/S 交替 run 80cc/hr 則是合理的order ，因為 = 9 g 鹽 / day ，略高於建議需求，但住院補 fluid 的病患，通常有 dehydration 或 fever 的情況，所以略微多給一點鹽無傷大雅. 而術後 run 到 120cc/hr 則 ＝ 3000 cc/day = 13.5 g 鹽 / day ，似乎是太多，但如前述，通常此時 fluid 會 shift 到 third space ，此時若不補充，intra-vascular volume也會不夠。 但在 老人或肝腎不好的病人，若擔心 鹽分給過多造成的 fluid retention，而喘起來。

Consider diluting the D25W or D50W bolus, with NS 1-to-1, as those concentrations may be sclerosing to veins; Recheck 5 minutes after dose and repeat dose if low. Consider glucagon IM/SQ if IV access is not readily available; References