DRUG MECHANISM OF INDICATION SIDE EFFECTS ADVERSE NURSING

ACTION EFFECTS RESPONSIBILITES

D5NM When  Parenteral  Inflammation  Febrile Response  Do not administer
administered maintenance of surrounding the  Infection at the site unless solution is
Dextrose 5% in intravenously, routine daily fluid site of injection of injection clean, and container
Normosol M Normosol -M and and electrolyte   Venous is undamaged
Solution 5% Dextrose requirements thrombosis  Discard unused
Classification: injection offers with minimal  Phlebitis portion
Hypertonic; water and carbohydrate  Extravasation  Solution containing
Nonpyrogenic; electrolytes for calories from  Hypervolemia dextrose should be
Parenteral fluid; maintenance of dextrose used with caution

Electrolyte; Nutrient daily fluid and  Prevent
replenisher electrolyte iatrogenic
requirements, plus magnesium
minimal deficiency in
carbohydrate patients
calories. receiving
prolonged
parenteral
therapy
D5NR  Use for fluid and  Inflammation  Increase blood
electrolytes surrounding the sugar
Eurosol- R in D5 resuscitation for site of injection (hyperglycemia)
Water (Balanced patients who  Increased fluid
Multiple suffered blood volume
Replacement loss from  Hyperosmolarity
Solution with 5% trauma, surgery,  Injection site
Dextrose) or burn injury infection
Classification:  To stimulate
Hypertonic urine production
in patients with
kidney failure
D5LR Hypertonic  Replacement  Increased serum  Pulmonary edema  Watch out for signs
solutions draw therapy osmolality  Cardiovascular of hypervolemia
5% Dextrose in fluid out of the particularly in  Altered overload  Never stop
Lactated Ringers intracellular and extracellular fluid thermoregulation  Hypernatremia hypertonic solutions
Solution interstitial deficit  Hypokalemia abruptly
Classification: compartments into accompanied by  Check vital signs
Hypertonic; the vascular acidosis frequently. Report
Nonpyrogenic; compartment,  Treatment of adverse reactions
 Parenteral fluid; expanding shock  Monitor intake and
Electrolyte; Nutrient vascular volume. It  Persons needing output, and weight
replenisher raises extra calories carefully. Watch
intravascular who cannot carefully for signs
osmotic pressure tolerate fluid and symptoms of
and provides fluid, overload fluid overload
electrolytes and
calories for
energy.