Diets & Weight Loss

Saline

Salt water; used as replacement fluid during surgery, or in tumescent solution for anesthesia

Question: What is the purpose of a saline IV solution containing dextrose? Does anyone know what dextrose does when added to a regular saline IV? What is the purpose of a dextrose containing IV solution? Kind of a separate question, but do you happen to know what a lactated ringer's IV solution is used for (why not just use saline?) Thanks!

Answer: To add on, D5NS (Dextrose 5% in normal saline) is hypertonic, meaning it has a higher solute concentration than tissues, so it can be used to help draw fluids out of oedematous (fluid-swollen) tissues. Lactated Ringer's solution, on the other hand, is isotonic, meaning it will stay in the veins, not move into tissues, but will not draw fluid out of tissues either. It can be used when someone needs to replenish their blood volume really quickly, such as a person who has had a really bad bleed or burn and is headed for shock. Saline on its own is hypotonic (some will say it's isotonic, but actually it's hypo), meaning it has a lower solute concentration than the fluid inside cells. Through osmosis, water (the saline!) will move into the cells to try to equalize the concentration inside and outside body cells... This is great if someone is extremely dehydrated, but baaaad if they're already fluid overloaded (as with oedema)

 


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