(1989; 60 pages) [French]
Group: intravenous infusion fluid
Injectable isotonic solution: 50 mg/ml (5%)
• Postoperative fluid replacement in patients with no sodium deficit, until adequate fluid can be taken by mouth.
• Intravenous rehydration of patients suffering from water depletion for whom oral rehydration salts are not suitable.
Dosage and administration
Individual requirements should always be determined on the basis of clinical and, whenever possible, electrolyte monitoring.
Patients must be monitored for signs of intravascular overload. In this event infusion must be slowed or suspended and, if necessary, a rapidly acting diuretic administered (for example furosemide 40 mg i.v.).
Patients with overt or known diabetes additionally require insulin and close biochemical monitoring.
Prolonged parenteral infusion of glucose solutions may inhibit secretion of insulin. To minimize the risk of hyperglycaemia it may be necessary to add insulin to the infusion.
Infusion of large volumes of glucose solution may cause hyponatraemia.
Unduly rapid replacement may lead to pulmonary oedema.
Glucose solution should be kept in sealed containers.