Dextrose Sodium Chloride IV Infusion is indicated in conditions of combined water and sodium depletion. It provides dextrose as a nutrient in a suitable isotonic sodium chloride medium, or it may be used as a source of isotonic sodium chloride, or both. It is commonly used for maintenance and replacement of fluids, electrolytes, and carbohydrates in patients who cannot take food or fluids orally, such as in persistent vomiting, during and after surgery, shock, or accidents.

This is a sterile solution of dextrose and sodium chloride in water for injection. Each 100 ml of solution contains: Dextrose Monohydrate equivalent to Dextrose Anhydrous BP 5.0 g, Sodium Chloride BP 0.9 g. This represents 5% dextrose in isotonic sodium chloride solution. The approximate concentration of sodium and chloride ions is 150 mmol/L.

Dose is variable. It depends on the clinical condition, age and body surface area of the patients.

• Check infusion set and infusion solution prior to use.
• Pull moderately to tear off the protective cover of the Eurocap.
• Hold lightly the Eurocap but not the bottle body.
• Open the flow regulator fully and hold the giving set on the top white area, but not the memorane venting region.
• Insert the spike of the administration set to the Eurocap and fit the connector of the administration set firmly to the needle.
• Gradually allow the fluid to flow down to the needletip and close.
• Remove the protective cover of the needle.
• Locate the venipuncture site and clean the site with an antiseptic solution, and then insert the needle.
• Securely tape the puncture site.
• Securely tape the wings and tubing.
• Start infusion while adjusting drip speed.

Do not use this medicine and inform your doctor if you have a known allergy to corn or corn-derived products, as dextrose-containing solutions may be contraindicated in such patients.

Reactions related to the solution or administration technique may include fever, infection at the injection site, venous thrombosis or phlebitis extending from the injection site, extravasation, and hypervolemia. If any adverse reaction occurs, stop the infusion immediately, evaluate the patient, and start appropriate treatment. The remaining fluid should be saved for examination if needed.

FDA Pregnancy Category C. It is not known whether Dextrose 5% in Water can harm an unborn baby. Inform your doctor if you are pregnant or planning pregnancy during treatment. It is also unknown whether it passes into breast milk. Do not use during breastfeeding without medical advice.

As this preparation contains Sodium Chloride, it should be used with caution in patients with congestive heart failure, pulmonary or peripheral edema, renal impairment, or pre-eclampsia. Blood glucose levels should be closely monitored, and insulin may be required in diabetic patients. Infusion should be stopped immediately if chills occur during administration. Do not use if the solution is cloudy, contains particles, or is expired.

Intravenous fluid preparations, parenteral nutritional preparations

Store below 30°C, protected from light and moisture. Keep out of reach of children.