Dexoride

Indications

This solution is ideal for addressing combined water and sodium depletion. It delivers Dextrose as a nutrient within a Sodium Chloride medium that is isotonic with body fluids. It can be used either as a source of isotonic Sodium Chloride, Dextrose, or both. Common applications include fluid, electrolyte, and carbohydrate maintenance and replacement for patients unable to ingest fluids or nutrients orally. This includes situations such as persistent vomiting, surgical procedures, shock, or accidents.

Description

This sterile solution combines Dextrose and Sodium Chloride in water for injection. Each 100 ml of solution contains 5.0 gm of Dextrose Monohydrate (equivalent to Dextrose Anhydrous B.P.) and 0.9 gm of Sodium Chloride B.P. This represents a 5% Dextrose concentration in an isotonic Sodium Chloride solution, with an approximate sodium and chloride ion concentration of 150 mmol/liter.

Dosage

Dosage varies based on the patient’s clinical condition, age, and body surface area. Always follow the guidance of your healthcare provider.

• Note: Follow your doctor’s advice regarding medication usage.

Administration

1. Inspect the infusion set and solution before use.
2. Gently pull to remove the Eurocap’s protective cover.
3. Handle the Eurocap carefully without touching the bottle body.
4. Open the flow regulator fully and hold the giving set by the top white area, avoiding the membrane venting region.
5. Insert the spike of the administration set into the Eurocap and secure the connector to the needle.
6. Allow the fluid to flow gradually to the needle tip and close.
7. Remove the needle’s protective cover.
8. Clean the venipuncture site with an antiseptic solution, then insert the needle.
9. Secure the puncture site with tape.
10. Tape the wings and tubing securely.
11. Start the infusion, adjusting the drip speed as needed.

Contraindications

Avoid using this solution if you have a known allergy to corn or corn products, and consult your doctor.

Side Effects

Potential reactions include febrile responses, injection site infections, venous thrombosis, phlebitis, extravasation, and hypervolemia. If any adverse reactions occur, stop the infusion, assess the patient, and take necessary therapeutic measures. Save the remaining fluid for examination if required.

Pregnancy & Lactation

FDA pregnancy category C. The safety of Dextrose 5% in water during pregnancy is not established. Inform your doctor if you are pregnant, plan to become pregnant, or are breastfeeding before using this medication.

Precautions & Warnings

Administer with caution in patients with congestive heart failure, edema, impaired renal function, or pre-eclampsia. Monitor serum glucose levels carefully, and consider concurrent insulin use for diabetic patients. Discontinue infusion immediately if any issues arise. Do not use if the solution is cloudy, contains particles, or is past its expiration date.

Therapeutic Class

• Intravenous fluid preparations
• Parenteral nutritional preparations

Storage Conditions

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