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Questions and Answers
What class does 5% dextrose in 0.9% sodium chloride (D5NS) belong to?
What class does 5% dextrose in 0.9% sodium chloride (D5NS) belong to?
- Hypotonic solution
- Isotonic solution
- Hypertonic dextrose-containing crystalloid solution (correct)
- Hypotonic dextrose solution
Which of the following are indications for using 5% dextrose in 0.9% sodium chloride (D5NS)? (Select all that apply)
Which of the following are indications for using 5% dextrose in 0.9% sodium chloride (D5NS)? (Select all that apply)
- Hypertension
- Heat related disorders (correct)
- Peritonitis (correct)
- Hypovolemia (correct)
Which patients should not receive 5% dextrose in 0.9% sodium chloride (D5NS)? (Select all that apply)
Which patients should not receive 5% dextrose in 0.9% sodium chloride (D5NS)? (Select all that apply)
- Patients with renal impairment (correct)
- Healthy adults
- Patients with cardiac impairment (correct)
- Patients with head injury (correct)
What precautions should be taken when administering D5NS?
What precautions should be taken when administering D5NS?
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What are the side effects of 5% dextrose in 0.9% sodium chloride (D5NS)?
What are the side effects of 5% dextrose in 0.9% sodium chloride (D5NS)?
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How does the dosage of 5% dextrose in 0.9% sodium chloride (D5NS) vary?
How does the dosage of 5% dextrose in 0.9% sodium chloride (D5NS) vary?
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Study Notes
D5NS Overview
- 5% dextrose in 0.9% sodium chloride (D5NS) is a hypertonic crystalloid solution.
Indications
- Used for heat-related disorders.
- Effective in cases of freshwater drowning.
- Treats hypovolemia and peritonitis.
Contraindications
- Not suitable for patients with cardiac or renal impairment.
- Avoid in individuals with head injuries or strokes.
Precautions
- Solutions are acidic, potentially causing venous irritation.
- Extravasation during subcutaneous administration can lead to tissue necrosis.
- Should not be combined with phenytoin or inamrinone.
Side Effects
- Side effects are rare when used at therapeutic dosages.
Dosage
- Dosage is patient-specific and varies based on individual situations.
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