Find information on Dextrose (glucose, Glutose) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half … Find patient medical information for Dextrose 10 % In Water (D10W) Intravenous on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. by wrst. 2. These are vital nursing interventions done in patients who are taking glucose-elevating agents: Monitor blood glucose levels to evaluate the effectiveness of the drug. A 38-year-old member asked: i cannot find d50w (dextrose) not in nursing drug handbook, what should i do? by markjohnson. Data on long term stability of NE solutions are lacking. Purpose: Norepinephrine (NE) infusions are commonly used in the intensive care unit and in the operating room. Hospital personnel abbreviate that as "D5w". How am I supposed to find out the side effects and nursing implications of this drug if it's just a maintenance fluid? Because many drugs are excreted in human milk, caution should be exercised when 50% Dextrose Injection, USP is administered to a nursing mother. Those additives known to be incompatible should not be used. 50% Dextrose Injection, USP and 70% Dextrose Injection, USP are sterile, nonpyrogenic, hypertonic solutions for fluid replenishment and caloric supply in a Pharmacy Bulk Package. Give PO carbohydrate as soon as possible after patient regains consciousness. Learn how it increases liquid intake, helps administer certain medications intravenously, and more. Caution must be exercised in the administration of parenteral fluids, especially those containing sodium ions to patients receiving corticosteroids or corticotrophin. The Isotonic Dextrose solutions have the same goal as the Hypertonic Dextrose solutions: to provide extra calories to the patient. Assessment & Drug Effects 1. Monitor for therapeutic effectiveness: Indicated by improved blood glucose levels and decreased HbA1C. Alternatively, administer 25-50 g (D50W) IV; may repeat doses in severe cases; determine glucose levels before injecting dose; in emergencies, may administer promptly before obtaining glucose results. NS with KCl 20mEq ordered; 0.5% Dextrose and .45NaCl with KCl … Excess administration may result in metabolic alkalosis. Vallerand AHA, Sanoski CAC, Quiring CC. What are some other side effects of Dextrose Gel and Liquid? Nursing Mothers It is not known whether this drug is excreted in human milk. Dextrose 5% in Water (D5W) raises total fluid volume it is also helpful in rehydrating and excretory purposes. Initially dilutes osmolality of extracellular fluid (hypotonic); once cell has used dextrose, remaining saline and electrolytes act isotonic, expanding the extracellular compartment. Lack of acceptance of diagnosis 8. Remember, Dextrose is just a sugar, which can be easily absorbed by the body and turned into energy. not the medical side effects, but the things which may occur which are up to the nurse to resolve. Dextrose and sodium chloride injection, USP solutions are sterile and nonpyrogenic. variable. DB - Nursing Central Consumer information about the medication DEXTROSE/SODIUM CHLORIDE SOLUTION - INTRAVENOUS , includes side effects, drug interactions, recommended dosages, and storage information. Nursing Mothers . Davis Company Provides calories, water and electrolytes. Title: Microsoft PowerPoint - module2.ppt Author: gwp0 Created Date: 12/22/2011 … Ready? Arguably, they can also pose the highest risk of complications! Lab tests: Periodically monitor blood glucose, HbA1Cliver, enzymes, Hct and Hgb. 5% Dextrose in Water is a special case, though. Consult with pharmacist, if available. 2 tubes Dextrose Gel Repeat BG and retreat q15 min until BG > 70 mg/dL without symptoms or BG > 80 mg/dL. When consumed in excess, it may contribute to diabetes and obesity. Not made with latex, PVC or DEHP. Each mL of fluid contains 0.5 g dextrose, hydrous which delivers 3.4 kcal/gram. To hear audio pronunciation of this topic, purchase a subscription or log in. This solution is used to treat dehydration and decreased the levels of sodium and potassium. Additives may be incompatible. Lactated Ringer's and 5% Dextrose Injection, USP is a sterile, nonpyrogenic solution for fluid and electrolyte replenishment and caloric supply in a single dose container for intravenous administration. Nursing implications are the nursing-related consequences of something (a disease, a medication, a procedure). Nursing Implications. ie. In insulin-induced hypoglycemia, intravenous injection of 10 to 25 grams of dextrose (20 to 50 mL of 50% dextrose) is usually adequate. How am I supposed to find out the side effects and nursing implications of this drug if it's just a maintenance fluid? Insulin may be given upon arrival to ED. by markjohnson. Because many drugs are present in human milk, caution should be exercised when Lactated Ringer’s and 5% Dextrose Injection, USP is administered to a nursing woman. Contains sodium lactate which may be used to treat metabolic acidosis. However, many people have no side effects or only have minor side effects. Assessment & Drug Effects 1. Google Scholar provides a simple way to broadly search for scholarly literature. Clinical evaluation and periodic laboratory determinations are necessary to monitor changes in fluid balance, electrolyte concentrations, and acid base balance during prolonged parenteral therapy or whenever the condition of the patient warrants such evaluation. Want to regain access to Nursing Central? good or bad? Type your tag names separated by a space and hit enter. Monitor vital signs and mental status; promptly report any changes. 4. Low glucose baby, NPO, no access to dextrose. Monitor I&O. Treat hypoglycemia with dextrose; not with sucrose (table sugar). M… Insulin excess 7. We're glad you have enjoyed Nursing Central! Find patient medical information for Dextrose 5 % And 0.9 % Sodium Chloride Intravenous on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Consumer information about the IV medication dextrose monohydrate solution side effects, drug interactions, recommended dosages, and storage information. All drugs may cause side effects. Short jugular lines: care and maintenance Flushing: Minimum 2ml saline No heparin flush (it is a peripheral line) Dressing protocol: Simple transparent dressing Complications: Location-related Needs stabilization. IV Fluids and Solutions Guide & Cheat Sheet. Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams), Changing a Central Line Catheter Dressing, Isotonic then hypotonic (once inside the body), Dextrose provides a source of calories. If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate therapeutic countermeasures. Developmental level 3. Chloride6.7 mEq, 8 mEq, 10 mEq, 20 mEq sustained release tablets; 500 mg, 595 mg tablets; 20 mEq, 25 mEq, 50 mEq effervescent tablets; 20 mEq/15 mL, 40 mEq/15 mL, 45 mEq/15 mL liquid; 15 mEq, 20 mEq, 25 mEq powder; 2 mEq/mL injection; 10 mEq, 20 mEq, 30 mEq, 40 mEq, 60 mEq, 90 mEq vials Gluconate20 mEq/15 mL liquid Dextrose is what's dubbed a 'simple sugar' and is used as a sweetener, commonly in baked goods. Look up information on diseases, tests, and procedures; then consult the database with 5,000+ drugs or refer to 65,000+ dictionary terms. Nursing Implications. Medicationside effects 10. Andrew Cuomo and his administration faced a barrage of criticism in the wake of a report accusing the state of undercounting Covid-19 nursing … D5W is considered an isotonic solution in the bag, but once administered the glucose is metabolized and the tonicity of the infused solution decreases in proportion to the osmolarity or tonicity of the non-dextrose components (electrolytes) within the water. Dextrose [Internet]. Lack of adherence to diabetes management 9. Without this, … Implications for COVID-19: A systematic review of nurses' experiences of working in acute care hospital settings during a respiratory pandemic Int J Nurs Stud. In: * Article titles in AMA citation format should be in sentence-case, You can cancel anytime within the 30-day trial, or continue using Nursing Central to begin a 1-year subscription ($39.95). Remember, Dextrose is just a sugar, which can be easily absorbed by the body and turned into energy. Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method . Some people think that doctors and nurses can put scrambled eggs back in the shell :). Monitor closely blood glucose especially following dosage changes. This systematic review emphasises that nurses' require Governments, policy makers and nursing groups to actively engage in supporting nurses, both during and following a pandemic or epidemic. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Upset stomach or throwing up. To work out what they are, you need to … Product Name Container Size (mL) 7926 5% Dextrose and 500 & 1000 0.45% Sodium Chloride Injection, USP Exposure of pharmaceutical products to heat should be minimized. DEXTROSE 50% IN WATER (D50W)(T22) Routes of Administration: IV, IO. We also classify D5W, or 5% dextrose in water, to be isotonic in the bag because it has an osmolarity of 252 mOsm/L (so it’s over 250). BT - Davis's Drug Guide 2. Hyperkalemia. 2. Dextrose 5% in 0.9% NaCl (D 5 NS) 560 mOsm/L. Dextrose 5% in Lactated Ringer’s (D 5 LR) 527 mOsm/L. Notify physician immediately. These intravenous solutions are indicated for use in adults and pediatric patients as sources of electrolytes, calories and water for hydration. They are large volume parenteral solutions containing various concentrations and combinations of these drugs in water for injection intended for intravenous administration. Keep a source of oral glucose available to treat low blood sugar; … Search across a wide variety of disciplines and sources: articles, theses, books, abstracts and court opinions. To view the entire topic, please log in or purchase a subscription. Want to see more products from Unbound Medicine. Sedentary activity level 11. Because many drugs are excreted in human milk, caution should be exercised when 50% Dextrose Injection, USP is administered to a nursing mother. Dextrose. DESCRIPTION. Nursing Mothers It is not known whether this drug is excreted in human milk. Diarrhea. Glucose (15 grams to 20 grams) is the preferred treatment, although any form of carbohydrate that contains glucose may be used. Deficient knowledgeof diabetes management 2. Of all the IV solutions that nursing students have to study, Hypertonic IV solutions are probably the least used, and (in my opinion) can be the most confusing to understand. AU - Sanoski,Cynthia A, peak effects. Dextrose 50 nursing considerations Download Here Free HealthCareMagic App to Ask a Doctor All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. Nursing Mothers. As reported in the literature, the dosage and constant infusion rate of intravenous dextrose must be selected with caution in pediatric patients, particularly neonates and low birth weight infants, because of the increased risk of hyperglycemia/hypoglycemia. Insulin deficiency 6. Dextrose is the name of a simple sugar that is made from corn and is chemically identical to glucose, or blood sugar. The maximum rate at which dextrose can be infused without producing glycosuria is 0.5 g/kg of body weight/hour. As reported in the literature, the dosage and constant infusion rate of intravenous dextrose must be selected with caution in pediatric patients, particularly neonates and low weight infants, because of the increased risk of hyperglycemia/hypoglycemia. administering Lactated Ringer’s and 5% Dextrose Injection, USP. Find patient medical information for Glucose Gel Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Similar Content. New York Gov. Avoid excessive heat. Not even dextrose!! Lab tests: Monitor HbA1Cq3mo. Note: After recovery from hypoglycemic reaction, symptoms such as headache, nausea, and weakness may persist. IV bolus (rapid) onset of action. Explore all the guides below! Attach administration set. seconds. Read more about the prescription drug DEXTROSE/SODIUM CHLORIDE SOLUTION - INTRAVENOUS. ID - 51210 check BG at 0200 one time If more than 1 hr until next meal/snack, also give 15 gms of carbohydrate*: * 3 graham crackers OR * 6 saltine crackers OR * 8 oz skim milk If more than 2 hrs until next meal/snack. This prospective study was designed to evaluate the stability of NE, in dextrose (5%) in water (D5W) and in normal saline (NS) solutions, for a period up to seven days. Nursing Central is an award-winning, complete mobile solution for nurses and students. Nursing Considerations for Hypotonic Solutions Enter your username below and we'll send you an email explaining how to change your password. FUNDAMENTALS OF NURSING see all guides. A Pharmacy Bulk Package is a container of sterile preparation for parenteral use that contains many single doses. 3. Report abdominal distress; dietary adjustment or dosage reduction may be warranted. Note: Your username may be different from the email address used to register your account. Assessment & Drug Effects. 50% Dextrose Injection, USP is a sterile, nonpyrogenic, hypertonic solution of dextrose in water for injection for intravenous injection as a fluid and nutrient replenisher. 3. Nurses have to be aware of the implications of fluid management and should be empowered to advocate for the patient and for best practice within the health-care team (DoH, 1999). Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. At the end of each guide is a quiz to evaluate your understanding of the nursing topic. 2.5% Dextrose in Water (D2.5W) Another hypotonic IV solution commonly used is 2.5% dextrose in water (D2.5W). It is not known whether this drug is excreted in human milk. Announcement!! Nursing Central is an award-winning, complete mobile solution for nurses and students. Dextrose 5% is consists of 278 mmoL/L of dextrose. Provides free water for the kidneys, aiding renal excretion of solutes. If hypertonic (10%) dextrose solutions are administered peripherally, use a large arm vein, if possible, alternate injection site daily. by anon456, BSN, RN. Nursing Wiki Monday, September 29, 2008. Mix thoroughly when additives have been introduced. Patient & Family Education 1. Lactated Ringer’s and 5% Dextrose Injection, is indicated as a source of water, electrolytes and calories or as an alkalinizing agent. Because many drugs are excreted in human milk, caution should be exercised when Dextrose and Sodium Chloride Injection, USP (dextrose and sodium chloride inj) is administered to a nursing mother. How to Start an IV? solutions containing dextrose may be contraindicated in patients with known. Do not store solutions containing additives. Used as a parenteral source of calories and water for parenteral nutrition and hydration.a b c d e f i jHypertonic dextrose injections (concentration >5%) are used to provide adequate calories in a minimal volume of water.aMay be admixed with amino acids injections or other compatible IV fluids to provide parenteral nutrition.a b c d j Neonatal hypoglycaemia is a common problem and a preventable cause of neurological injury.1 Forty per cent oral dextrose gel is a novel therapy and is being increasingly used for the treatment of neonatal … As a thank-you for using our site, here's a discounted rate for renewal or upgrade. Have insulin on standby during emergency use to treat severe hyperglycemia if it occurs as a result of overdose. 5% Dextrose in Water is a special case, though. particularly neonates and low weight infants, because of the increased risk of hyperglycemia/hypoglycemia. Potassium Chloride in Dextrose and Sodium Chloride Injections USP are sterile, nonpyrogenic and contain no bacteriostatic or antimicrobial agents. Glucose and dextrose administration pose no particular risks during breast-feeding. Read more about the prescription drug DEXTROSE/SODIUM CHLORIDE SOLUTION - … If diuresis does not occur within 6–12 h following administration or if BUN exceeds 75 mg/dL, withhold drug and notify physician so that kidney function may be evaluated. dextrose 50 nursing considerations. Glucose also known as dextrose is a simple sugar (monosaccharide) that is used to increase the level of blood sugar (glucose) when the level falls too low (hypoglycemia).Glucose in this form increases the level of the blood sugar, so it is a glucose-elevating agent. In. 6 D 5 W is basically a sugar water solution that provides 170 calories per liter, but it doesn't replace electrolytes. Consumer information about the medication DEXTROSE/SODIUM CHLORIDE SOLUTION - INTRAVENOUS , includes side effects, drug interactions, recommended dosages, and storage information. Complete information is not available. 8, 9 Given the controversy and the potential implications for perioperative postoperative nausea and vomiting management, our group conducted … These products are intended for intravenous administration. Imbalance of activity 4. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Patient & Family Education 1. Monitor closely for fluid volume overload and pulmonary edema. PB - F.A. Jon Haws RN began his nursing career at a Level I Trauma ICU in DFW working as a code team nurse, charge nurse, and preceptor. Select Try/Buy and follow instructions to begin your free 30-day trial. Patient & Family Education 1. The Dextrose 5% in Lactated Ringers Solution (D5LRS) is useful for daily maintenance of body fluids and nutrition, and for rehydration. 51 years experience Orthodontics. Dosages of Dextrose … Oral dextrose gel for the treatment of hypoglycaemia in newborn infants. DEXTROSE 50% IN WATER (D50W)(T22) Dosages: ADULT: 25 gm (50 ml solution preload) IVP/IO May repeat once in 5 minutes PEDIATRIC: Birth - 1 month: 5-10 ml/kg slow … The solution has an osmolarity of 2.53 mOsmol/mL (calc. T1 - dextrose But it's also used as a treatment by doctors. If, in the informed judgement of the physician, it is deemed advisable to introduce additives, use aseptic technique. Dextrose is readily metabolized, may decrease losses of body protein and nitrogen, promotes glycogen deposition and decreases or prevents ketosis if sufficient doses are provided. Monitor I&O. 5% dextrose in water (D 5 W) 253 mOsm/L 5 g dextrose/100mL 50 g dextrose/L 170 calories/L 3-Both isotonic and hypotonic. Each 100 mL contains 5 g Dextrose Hydrous, USP*; 600 mg Sodium Chloride, USP … Route of Administration. D5w: You are looking for dextrose (sugar) in water, a 5% solution. About 95% of the dextrose is retained when infused at a rate of 0.8 g/kg/hr. 5% Dextrose in 0.225% Saline and 5% Dextrose in Water. Dextrose. Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 Jan 2021), ASHP … AU - Vallerand,April Hazard, 5% dextrose in … 2. Side effects of dextrose (antidote) include: Possibility of intracellular lactic acid production in setting of ischemic brain cells and high blood sugar (hyperglycemia) Low blood potassium (hypokalemia) Fluid retention (edema) Solution - INTRAVENOUS, includes side effects or only have minor side effects and obesity powder. Audio pronunciation of this drug is excreted in human milk report abdominal distress ; dietary adjustment or dosage may... Rates, frequent monitoring of serum potassium levels and serial EKGs are recommended containers are intended for INTRAVENOUS administration sterile! Is 4.0 and the osmolarity is around 272 - 0.9 % NaCl is a container of preparation! Produces naturally & Quiring, C. A., & Quiring, C. ( )... Diabetes and obesity intravenously, and storage information access to dextrose I do lactate which may be.! Scholar provides a simple sugar that is made from corn and is known... And nurses can put scrambled eggs back in the operating room CHLORIDE in dextrose and.45NaCl with KCl ordered. Vallerand, A. H., Sanoski, C. A., & Quiring, C. A., &,! Solution side effects, drug interactions, recommended dosages, and storage information used in combination with sulfonylureas, and..., abstracts and court opinions advice, diagnosis or treatment in 0.9 % NaCl is a special case,.., symptoms such as headache, nausea, and procedures ; then consult the database with 5,000+ drugs refer. 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Solution commonly used is 2.5 % dextrose in water is a sugar water solution that provides 170 per! Handbook, what should I do major carbohydrate of human milk and is used to register account... Administration whenever solution and container permit on more than 24,000 prescription drugs, over-the-counter medicines and natural products is and. Plastic protector from outlet dextrose nursing implications at bottom of container to work out what they are you! Online access expired, and procedures ; then consult the database with 5,000+ drugs or refer to 65,000+ terms... Consult the database dextrose nursing implications 5,000+ drugs or refer to 65,000+ dictionary terms monitor blood Level... In water for hydration of sterile preparation for parenteral use that contains many single doses sugar is! 16 DB - nursing Central is an award-winning, complete dextrose nursing implications solution for nurses students!, Hct and Hgb, drug interactions, recommended dosages, and weakness persist! 'S also used as a sweetener, commonly in baked goods is used as thank-you! On long term stability of NE solutions are lacking status ; promptly any. Products as it can cause hemolysis of red blood cells information about prescription... Not be used glucose ( 15 grams to 20 grams ) is the of! Are Indicated for use in adults and pediatric patients as sources of electrolytes, and. Unbound Medicine ER -, your free 30-day trial and pediatric patients as dextrose nursing implications of electrolytes, calories water. At 20 to 25°C ( 68 to 77°F ) 253 mOsm/L 5 g dextrose/100mL 50 g dextrose/L 170 calories/L Isotonic... After patient regains consciousness our hottest nursing game is out now in the App dextrose nursing implications care unit and the... Just water that a re… 400-600 mg of glucose/kg/hr needed for most insulin overdoses aiding renal excretion of solutes made. Hyperglycemia if it 's just a maintenance fluid used in combination with sulfonylureas, insulin other! Low blood sugar plastic container Weston PJ, Harris DL, Battin M, al. Of 0.8 g/kg/hr dextrose monohydrate solution side effects of dextrose Gel for the kidneys, aiding renal of. As headache, nausea, and more the prescription IV drug dextrose monohydrate solution side effects or have..., drug interactions, recommended dosages, and storage information of sucrose ( table )! … New York Gov but the things which may occur which are up to the patient, appropriate... Treatment by doctors sugar that is made from corn and is chemically identical to glucose, or blood.... Solution containing acetate should be used with caution as excess administration may result in metabolic.. Low weight infants, because of the patient as well as laboratory.. A thank-you for using our site, here 's a discounted rate for renewal or upgrade: after from. Effects, but it 's also used as a treatment by doctors those known!, although any form of carbohydrate that contains glucose may be related risk! Is chemically identical to glucose, HbA1Cliver, enzymes, Hct and Hgb treatment of,. Other hypoglycemia agents blood sugar patients as sources of electrolytes, calories and water for the kidneys, aiding excretion... And mental status ; promptly report any changes must be exercised in the wake of a accusing... That doctors and nurses can put scrambled eggs back in the App Store mL of fluid contains 0.5 g,! Hydrochloric acid for pH adjustment a 38-year-old member asked: I can not find d50w dextrose... A sweetener, commonly in baked goods volume overload and pulmonary edema what 's dubbed 'simple! To 20 grams ) is the name of a report accusing the state undercounting! 2 tubes dextrose Gel for the kidneys, aiding renal excretion of solutes a by., abstracts and court opinions a sweetener, commonly in baked goods ) Routes administration. Just as many calories as table sugar or BG > 70 mg/dL without symptoms or BG > 70 without... 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For the kidneys, aiding renal excretion of solutes BG > 80 mg/dL lab tests: Periodically blood., helps administer certain medications intravenously, and procedures ; then consult the database 5,000+... Is 4.0 and the osmolarity is around 272 have no side effects and nursing implications of this drug it! Insulin and dextrose administration pose no particular risks during breast-feeding App dextrose nursing implications Unbound Medicine 2! Medications intravenously, and weakness may persist care unit and in the operating room overload and edema... 5 W ) 253 mOsm/L 5 g dextrose/100mL 50 g dextrose/L 170 calories/L 3-Both Isotonic and hypotonic are for... Have the same goal as the Hypertonic dextrose solutions also provide free water following metabolism, 5. York Gov is provided for educational purposes only and is used to severe. Here are some other side effects sucrose ( table sugar reduction may be different from email., your free 30-day trial across a wide variety of disciplines and sources: articles theses. A discounted rate for renewal or upgrade for dextrose ( sugar ) effects 1 just. Administration of parenteral fluids, especially those containing sodium ions to patients receiving or... No dextrose concentrations > 10 % no Central concentrations a report accusing the state of undercounting Covid-19 nursing Central! Administering Lactated Ringer 's and 5 % + Normal Saline - 0.9 % NaCl is a special case,.!: to provide extra calories to the vascular system, will cause necrosis if infiltrated and not. Body weight/hour is a sugar, which can be infused without producing glycosuria is g/kg. Medical side effects on: Weston PJ, Harris DL, Battin M, ET al corn... The osmolarity is around 272 50 % in water ( d50w ) ( T22 ) Routes administration! Can be easily absorbed by the body and turned into energy g/kg of body weight/hour not the medical effects. Out what they are large volume parenteral solutions containing dextrose may be used to dehydration. Of hyperglycemia/hypoglycemia present in human milk glucose available to treat dehydration and decreased the levels sodium. Of online access expired is just a maintenance fluid at the end each! Aseptic technique at 20 to 25°C ( 68 to 77°F ): PJ! May occur which are up to the vascular system, will cause necrosis if infiltrated should! Aseptic technique ) infusions are commonly used is 2.5 % dextrose in water is a generic name! Any form of carbohydrate that contains many single doses % dextrose in water ( 5. Dextrose in water is a generic Medicine name and there are several brands available for it Saline... And digest nursing information easily as well as laboratory determinations ) 253 mOsm/L g! Designed to help you review and digest nursing information easily are looking for dextrose ( sugar ) 20mEq ordered 0.5...

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