(1989; 60 pages) [French]
Glucose with sodium chloride
Group: intravenous infusion fluid
Injectable isotonic solution: 40 mg/ml (4%) glucose, 1.8 mg/ml (0.18%) sodium chloride; Na+ 30 mmol/litre, Cl- 30 mmol/litre
This isotonic preparation has a relatively low sodium content.
• Postoperative fluid and electrolyte replacement, until adequate fluid can be taken by mouth.
• Replacement of fluid and electrolyte loss during surgery, particularly in children.
Dosage and administration
Individual requirements should always be determined on the basis of clinical and, whenever possible, electrolyte monitoring.
Adults and children: during surgery the infusion rate is typically 5 ml/kg per hour.
Patients must be carefully monitored throughout the infusion for signs of intravascular overload. Should this occur, the infusion must be slowed or suspended and, if necessary, a rapidly acting diuretic administered (for example furosemide 40 mg i.v.).
Unduly rapid replacement may lead to pulmonary oedema.
Glucose with sodium chloride solution should be stored in sealed containers.