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Discussion

I want the answer

hi, Iam arabic nurse from jordan . and I am new graduated fron nursing callage and i had a new work on hospital . there is a case i want to ask about it . this case was remove a kidney stone and the doctor ordor to give her insulin infusion in 500ml D5W,i want to tell me why ? i know that we give insulin infused on d5w for DKA but why we give it for kidney stone removal pt? l was asked her doctor but he give me a brief answer .

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    • Featured Replies

    Was the patient diabetic?

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    You should always ask questions for clarification. You did the right thing, but if you still don't understand why you are giving a medication to a patient, keep asking until you have a thorough understanding or look it up in a drug book or web reference at your hospital. There's not enough information on your original post to determine why D5W was indicated, but just to review, these are some uses for D5W:

    *it's a hypotonic solution

    *hydration

    *provides calories in the form of a carbohydrate and spares the use of your muscle protein

    *can make you diurese

    *can lower pH

    *correct hypoglycemia

    I hope you find the answer!

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    Sounds like a bogus post (poster) to me.

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    Did the pt have an elevated serum potassium, related to renal issues?

    Small amts of insulin helps shift potassium from blood back in the cells, and will temporarily treat high serum K+ - the D5W keeps the sugar from dropping while this is done.

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    Sounds like a bogus post (poster) to me.

    Unlikely. Just a poster whose first language is not English.

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    Unlikely. Just a poster whose first language is not English.

    Agree, this is reasonably good English and devoid of the all so common "OMG'"s, "like gawd's" and other slang phrases that are commonly used by native English speakers.

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    • Author

    yes she was diabetic

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    • Author

    thank you joblessnewgrandRN, first for your advice it increase my self confidence,and I am sorry my english language is weak.second because you answer me i find the answer from your information you give me it was for diurese to wash the kidney) thank you very very much

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    Welcome to this forum, Pansyrose.

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