5% Dextrose in Water (D5W)

Question 1

D5W Classification

Answer 1

Hypotonic Dextrose-containing solution

Question 2

D5W Mechanisim

Answer 2

Provides nutrients in the form of dextrose

Question 3

D5W Pharmacokinetics

Answer 3

Onset: Varies, depending on goal
Peak: N/A
Duration: N/A
Half Life: N/A

Question 4

D5W Indications

Answer 4

• Dilution of concentrated IV medications

- Keep open IV

Question 5

D5W Contraindications

Answer 5

Hypovolemia requiring volume replacement

Question 6

D5W Side Effects/Adverse Reactions

Answer 6

Rare in therapeutic doses

Question 7

D5W Dose

Answer 7

Adult: KVO
Pedi: KVO

Question 8

D5W Precautions

Answer 8

• May cause local venous irritation
• Extravasation may cause tissue necrosis
• Monitor for signs of circulatory overload
• Avoid with head injury or stroke

Question 9

D5W Drug Interactions

Answer 9

• Forms PPT with Dilantin

- Decreases effectiveness of Inocor by 11-13% in 24h