D5W vs. D5 NS

  1. 0 Can someone explain the difference between D5W and D5NS. THANKS...
  2. Visit  LucyLu profile page

    About LucyLu

    Joined Nov '05; Posts: 9.

    12 Comments so far...

  3. Visit  NurseyPoo profile page
    1
    D5W (260 mOsm/L) = Isotonic Solution: Osmolarity about equal to serum, expands intravascular compartment.

    D5 NS (560 mOsm/L) = Hypertonic Solution: Osmolarity higher than serum, draws fluid into the intravascular compartment from cells and interstitial compartments.

    I hope this helps:spin: :spin:
    maunikam likes this.
  4. Visit  AnnieOaklyRN profile page
    1
    D5W is 5% dextrose in water is hypotonic so it moves fluid into the cells out of the circulation.

    D5NS is 5% dextrose in normal saline. Is hypertonic so it does the opposite, it moves fluid out of the cells and into the circulation.

    Hope this helps


    Sweetooth
    miniangel729 likes this.
  5. Visit  AnnieOaklyRN profile page
    1
    I just want to add to what nursey poo said. D5W is technically isotonic, but it becomes hypotonic once in the body so it pulls fluid out of the vasculature and into the cells.

    Swtooth
    turnforthenurseRN likes this.
  6. Visit  LucyLu profile page
    0
    Yes, thanks that helps.
  7. Visit  West_Coast_Ken profile page
    1
    Quote from swtooth
    I just want to add to what nursey poo said. D5W is technically isotonic, but it becomes hypotonic once in the body so it pulls fluid out of the vasculature and into the cells.
    I just want to add to what swtooth said: the reason isotonic D5W becomes hypotonic in the body is because the glucose is broken down once it is in the body by insulin so this is not an immediate change but it does happen quickly.
    miniangel729 likes this.
  8. Visit  NRSKarenRN profile page
    2
    Last edit by sirI on Jan 30, '12
    turnforthenurseRN and C-lion like this.
  9. Visit  Roy Fokker profile page
    1
    Very good website!
    Last edit by sirI on Jan 30, '12
    sirI likes this.
  10. Visit  RNsRWe profile page
    0
    I copied this info, as I'm often wondering why I'm hanging this fluid instead of that one; it's not something we were taught in detail and obviously on med-surg I'm ALWAYS hanging fluids.

    However, the article said to look to "What's in There? Contents of Some Common I.V. Fluids" for some more info, but I can't find how to get this other article....?

    I'd love to have a breakdown for some other fluids, such as Lactated Ringers. Patients often ask "what's that for" and beyond giving them a very basic "it keeps you hydrated" response, it'd be nice to know for myself a bit more!
    Last edit by sirI on Jan 30, '12
  11. Visit  Friendli profile page
    0
    Super helpful all you smart nurses!
  12. Visit  turnforthenurseRN profile page
    0
    Quote from HappyParamedicRN
    I just want to add to what nursey poo said. D5W is technically isotonic, but it becomes hypotonic once in the body so it pulls fluid out of the vasculature and into the cells.

    Swtooth
    This is because once D5W is in the body, the dextrose is metabolized and you are left with free water, which is hypotonic.
  13. Visit  Robublind profile page
    0
  14. Visit  sirI profile page
    0
    Link repaired.


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