A patient is prescribed 5% dextrose in water after the circulation has been stabilised. Which effect is expected from this solution?
Correct answer: B. Provision of free water and limited calories
- A. Rapid expansion of intravascular volume
- B. Provision of free water and limited calories
- C. Correction of severe symptomatic hyponatraemia
- D. Replacement of large plasma protein losses
Explanation
Glucose is metabolised, leaving free water that distributes through body compartments, with a small carbohydrate contribution. It is not suitable for rapid volume resuscitation, severe hyponatraemia, or replacement of plasma proteins.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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