INTRAVENOUS THERAPY

Intravenous Fluid
Lactated Ringers Solution with 5%Dextrose(D5LR) 500ml

Mechanism of Action/Uses
It was used to induce urine output in patients with renal failure. Dehydration Burns Lower GI fluid loss Acute blood loss Hypovolemia due to third spacing Hypertonic Solutions are those that have an effective osmolarity greater than the body fluids. This pulls the fluid into the vascular by osmosis resulting in an increase vascular volume. It raises intravascular osmotic pressure and provides fluid, electrolytes and calories for energy.

Nursing Responsibilities
Do not administer unless solution is clear and container is undamaged. Caution must be exercised in the administration of parenteral fluids, especially those containing sodium ions to patients receiving corticosteroids or corticotrophin. Solution containing acetate should be used with caution as excess administration may result in metabolic alkalosis Solution containing dextrose should be used with caution in patients with known subclinical or overt diabetes mellitus. Discard unused portion. In very low birth weight infants, excessive or rapid administration of dextrose injection may result in increased serum osmolarity and possible intra-cerebral hemorrhage.