What is 5% D/W TKO

aerorunner80, ADN, BSN, MSN, APRN · Mar 18, 2009

5% Dextrose in Water

TKO means To Keep Open as in to keep the vein open so the IV doesn't go bad.

scherie88 · Mar 18, 2009

Thank You!

NurseLoveJoy88, ASN, RN · Mar 18, 2009

5 % Dextrose ( sugar) in normal saline.

SmilingBluEyes · Mar 18, 2009

Oh and TKO is not a legit order anymore. Today, we actually have to have an order for an actual RATE, not "TKO".

Idaho Murse · Mar 18, 2009

" re: what is 5% d/w tko

5 % dextrose ( sugar) in normal saline."

normal saline is completely wrong. dw or most forms of are dextrose in water.

d5ns is 5% dextrose in normal saline (0.9%)

Daytonite, BSN, RN · Mar 19, 2009

5% d/w is 5% dextrose in water (sterile water).

you will find the common iv fluids and their components listed on this table which you can download and print out. 5% d/w, also written as d5w is listed on it:

table of commonly used iv solutions.doc

Babs0512 · Mar 19, 2009

%5 Dextrose in water, TKO usually means to "keep vein open" "to keep open" - which is about 1ml/hour. Other posters have said it is %5 dextrose in normal saline, that is not correct, that would be D5NS. This is D5W.

Blessings

Daytonite, BSN, RN · Mar 19, 2009

tko usually means to "keep vein open" "to keep open" - which is about 1ml/hour.

this is not accurate or complete information. it may be for the facility you practice in and it probably applies specifically to iv pumps that default to this rate, but not for others where they practice. this question of tko came up recently in the nursing student assistance forum and i supplied the correct answer. please read it for yourselves: https://allnurses.com/nursing-student-assistance/tko-iv-question-375962.html#post3491430 - tko iv question

scherie88 · Mar 19, 2009

Wow...thank you everyone for your responses...what is the difference between normal saline and sterile water?

SolaireSolstice, BSN, RN · Mar 19, 2009

Normal Saline = 0.9% sodium chloride (NaCl) solution

Water = H2O sterile (not tap water)

SolaireSolstice, BSN, RN · Mar 19, 2009

Also:

0.9% normal saline is an isotonic solution. Usually used as a vascular volume expander.

Sterile water is hypotonic by itself, but mixed with 5% Dextrose, it is an isotonic solution, until the dextrose is absorbed. Then the body is left with a hypotonic solution which will move into the interstitial and intercellular spaces. There are risks to long term D5W therapy.