Dextrose questions

[ShadetheDWolf]

Heya. I’ve been kind of interested in trying some dextrose injections for the balls. Was curious about the mountainside medical site, of if the 5% dextrose with .9% sodium chloride is what I’m looking for, or if it has to be the 5% dextrose in water. Or if those are the same things.

Still wanting to have someone walk me through it for my first time, but I kind of get the gist of what I have to do. It’s just finding the time and privacy to do it. Thanks!

[moose1980]

I has to be written 5% dex and 9% saline or nacl i think but not water

[ShadetheDWolf]

I has to be written 5% dex and 9% saline or nacl i think but not water

Okie dokie. I saw they had Dex with nacl, so that’s the sodium chloride. Coolio. Cheap for 1000 mg bag

[kiwibop]

Hi ShadetheDWolf

Intravenous solutions 101

D5 won't swell.

As I've posted before - it is basic physiology:

D5W is isotonic and cannot result in additional swell above that from the volume of fluid infused

Handy cheat sheet (hypertonic = extra swell. isotonic/hypotonic = no extra swell):

The following is a list of solutions by their tonicity:

Hypertonic:
D5 0.9% NaCl
D5 in Lactated ringers
D5 0.45% NaCl
D10W

Isotonic:
0.9% NaCl (Normal Saline)
Lactated Ringers
D5W (In the bag)

Hypotonic:
D5W (in the body)
0.25% NaCl
0.45% NaCl (half normal saline)
2.5% Dextrose

Why is D5W listed under two categories? Well because it is a trickster. The actual solution in the bag is isotonic, but once you give D5W to patients the body metabolizes the glucose molecules that were once causing the solution to be isotonic. The solution is now missing solute, causing it to become a hypotonic solution.

[ShadetheDWolf]

Hi ShadetheDWolf

Intravenous solutions 101

D5 won't swell.

As I've posted before - it is basic physiology:

D5W is isotonic and cannot result in additional swell above that from the volume of fluid infused

Handy cheat sheet (hypertonic = extra swell. isotonic/hypotonic = no extra swell):

The following is a list of solutions by their tonicity:

Hypertonic:
D5 0.9% NaCl
D5 in Lactated ringers
D5 0.45% NaCl
D10W

Isotonic:
0.9% NaCl (Normal Saline)
Lactated Ringers
D5W (In the bag)

Hypotonic:
D5W (in the body)
0.25% NaCl
0.45% NaCl (half normal saline)
2.5% Dextrose

Why is D5W listed under two categories? Well because it is a trickster. The actual solution in the bag is isotonic, but once you give D5W to patients the body metabolizes the glucose molecules that were once causing the solution to be isotonic. The solution is now missing solute, causing it to become a hypotonic solution.

Well they do have a listing of D5 .9 NaCl, so would that be what I’d go for?

[jr1975atv]

The D5 .9 nacl swells more for me than the D5 in water

[ShadetheDWolf]

The D5 .9 nacl swells more for me than the D5 in water

Okie dokie. That’s what I’ll get then whenever I decide to do thank y’all