When vigorous fluid replacement is not indicated, D5W can be used as a medication route, Since it is hypotonic, it prevents circulatory overload in patient's with congestive heart failure and renal failure
5% Dextrose in Water mechanism of action
provides nutrients in the form of dextrose and free water
5% Dextrose in Water indications
1. IV access for emergency drugs
2. for dilution of concentrated drugs for IV infuction
5% Dextrose in Water Contraindications
hypovolemic patient
5% Dextrose in Water precautions
1. dextrose containing solutions are acidic and may produce local venous irritation
2. subcutaneous administration from extravasation may result in tissue necrosis
3. monitor for signs of circulatory overload (monitor breath sounds)
4. when using on hypoglycemic patient, draw blood prior to administration
5% Dextrose in Water side effects
rare
5% Dextrose in Water Interactions
do not use with Dilantin (Phenytoin) or Inocor (Amrinone)- medication precipitate out
5% Dextrose in Water Dosage
Administer with a 60 gtts / ml (mini) set at KVO/TKO