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Can anyone tell me what the difference btwn D5NS and D5W is?
If you've ever heard the Goljan lectures, he says that the only reason we give D5W is because the hospital can't charge 35 dollars for a bag of plain W. This is usually pretty true IMO.
Pure water damages veins, that is why D5 is given instead.
Pure water damages veins, that is why D5 is given instead.
Yep, not a good idea to give free water IV. PO/NGT/PEG only
Funny how many people don't give free water with tube feedings. I always give the patients a "drink of water" with their tube feedings.
Yeah, I'm on a surgery sub-I now, and everyone's on D5 1/2NS with 20meq of KCl, pretty much. Your sodium is supposed to be 135-145, and NS has 154 in it. It's also got 154 of chloride, which is even higher than your serum choride.
and 1/2 NS is 77 mEqs of sodium and of chloride, which is even lower than your serum numbers . . . the question being, what is the point, and why does it matter . . . or more appropo WHEN does it matter
I personally don't care for that much dextrose because i dont think it adds much nutrition anyhow, and ends up screwing up my diabetics.
it matters when their chloride and sodium levels start to creep up (well mostly chloride), you know the cause and can respond appropriately. It came up on one of my pancreatitis patients I had during medicine sub-I