Question on IV solution

The only time I've seen D10 used is when a patient is on TPN/HAF and for some reason the programmed bag is unavailable or has to be interupted. D10 provides short term caloric support without the lipids & protien in TPN/HAF recipe.

Yes, just yesterday we hung D10 - patient had blood glucose levels that couldn't be controlled and were constantly bottoming out (30's-40's) so after a few dextrose 50 IVPs we hung D10....(he still was hypoglycemic) Might be a liver/kidney issue....will find out more today .....

Sometimes we use D10 solution with 10 units of regular (rapid) insulin in it to lower blood potassium levels quite rapidly.

Used in patients with increased glucose needs that are difficult to meet with bolus dosing of glucose.

The last one I used was on a neonate that had issues with hypoglycemia following delivery.

Other patients as noted above. Also, keep in mind that these patients will require frequent blood glucose monitoring and will often be "sick sick". Most likely there are also some metabolic issues and electrolyte derangements in these patients that may require special care, too.

Practice SAFE!

Yes-- it is frequently given to neonates with hypoglycemia--especially when the respiratory status or any other physical condition results in the necessity for an NPO order.

Thank you all for the feedback...much help! :nuke: