about IV fluids

i am pretty versed in iv and iv fluids. there are several iv solutions that contain mixtures of 5% dextrose and other solutions. however, d5imb doesn't ring a bell with me. is it possible that this is a common name for an iv fluid that is manufactured and used in your country? in the u.s. i have seen the "m" and "b" used to identify the manufactures of iv fluids with "m" standing for mcgaw and "b" standing for baxter. the "m" might also stand for the word "molar", a chemical term. the "i" could stand for the word "isotonic". so, it could be 5% dextrose in isotonic molar "b" something? is there a nurse who works in a hospital that you can ask about this?

5% dextrose and water is an isotonic solution that has an osmolarity of 253 and ph of about 4.5 to 5.0. it provides calories and free water. 5% dextrose in one liter of water contains 5 grams of dextrose per every 100ml which gives 170 calories per liter of fluid. the dextrose in iv solutions is metabolized very rapidly since it is a simple sugar which leaves behind plain old water. this water is able to cross all cell and tissue membranes to go into the various fluid compartments where is it needed.

thanks daytonite!!!

i think ill just ask the nurse then in that hospital..

by the way, the label says 5% dextrose multiple balance and maintenance.. and the nurses here always put d5imb on the pt's chart..

can you tell me about D5IMB... i went trough mu book and it havent said anything... i also tried to search on the net but the results were not credible. hoping for ur response..... TY!!!!

somberhue, maybe u are from the philippines coz i too encountered that IV fluid before.... and I had a hard time looking in different books and searching the net but i didnt find a good resource....

all i can remember was that the nurses in the hospital where we are doing our rotation is always infusing that to pt with BPN (bronchopneumonia)....

i am pretty versed in iv and iv fluids. there are several iv solutions that contain mixtures of 5% dextrose and other solutions. however, d5imb doesn't ring a bell with me. is it possible that this is a common name for an iv fluid that is manufactured and used in your country? in the u.s. i have seen the "m" and "b" used to identify the manufactures of iv fluids with "m" standing for mcgaw and "b" standing for baxter. the "m" might also stand for the word "molar", a chemical term. the "i" could stand for the word "isotonic". so, it could be 5% dextrose in isotonic molar "b" something? is there a nurse who works in a hospital that you can ask about this?

5% dextrose and water is an isotonic solution that has an osmolarity of 253 and ph of about 4.5 to 5.0. it provides calories and free water. 5% dextrose in one liter of water contains 5 grams of dextrose per every 100ml which gives 170 calories per liter of fluid. the dextrose in iv solutions is metabolized very rapidly since it is a simple sugar which leaves behind plain old water. this water is able to cross all cell and tissue membranes to go into the various fluid compartments where is it needed.

isotonic or hypotonic? it bcause one of my instructor told me that this is hypotonic, so im rily confuse about it... plz help.....

hi, jmarz, and welcome to allnurses! :welcome:

i was an iv therapist for many years and nationally certified here in the united states in iv therapy,

d5w is an isotonic solution.

it is easy to remember that there is only one hypotonic solution and it is 0.45% sodium chloride. a hypotonic solution has the same concentration as blood so when it enters the circulatory system it stays within the circulatory system.

an isotonic solution such as d5w has the net effect of giving the patient pure water because the dextrose is rapidly taken in by the cells of the body leaving only the water of the solution left behind that eventually gets taken into the intravascular spaces by osmosis.

here is a chart of all the commonly used iv solutions, how they are classified, what is in them, what they are commonly used for and complications connected with their use.

[attach]5949[/attach] chart of commonly used iv solutions

here is a chart of all the commonly used blood products, what is in them, why they are used, and the administration and nursing consideration regarding their use

[attach]5812[/attach] chart of commonly transfused blood products

on post #22 of this thread is a description of hypotonic, isotonic and hypertonic iv solutions with a link to a listing of which iv fluids fit into each category.

• https://allnurses.com/forums/f205/any-good-iv-therapy-nursing-procedure-web-sites-127657.html - any good iv therapy or nursing procedure web sites (in nursing student assistant forum)

  
  

this should clear up any confusion you have about this subject. print out these two charts and the information on post #3 that has the description of hypotonic, isotonic and hypertonic solutions as well as the listing of iv solutions classified by their tonicity so you have them in a notebook to refer to and study.

thanks a lot daytonite!!!

about this info....

Hi, jmarz, and welcome to allnurses!

It is easy to remember that there is only ONE hypotonic solution and it is 0.45% Sodium Chloride. A hypotonic solution has the same concentration as blood so when it enters the circulatory system it stays within the circulatory system.

a hypotonic solution provides more water than electrolytes, diluting the ECF; osmosis then produces a movement of water from the ECF to the ICF; after osmotic equilibrium has been achieved, the ICF and ECF have the same osmolality; and both compartments have been expanded. Hypotonic solutions have the potential to cause cellular swelling.

Does a hypotonic solution stay within the circulatory system?

D5 IMB means maintnance balance solution

i dunno how it goes that way

but it is more likely for pt w/ respratory problems mostly pedia..

D5 IMB means maintnance balance solution

i dunno how it goes that way

but it is more likely for pt w/ respratory problems mostly pedia..

D5IMB stands for 5% dextrose in ionosol maintenance/maintaining (not quite sure) balance.