20% glucose solution Braun supports hypoglycemic treatment (500ml)

Glucose is a single 6 -carbon line, used to treat sugar deficiency and fluid.

Glucose is often used with electrolyte solutions to prevent and treat dehydration due to acute diarrhea.

glucose is also used to treat hypoglycemia and are used as other drugs.

pharmacokinetics

glucose converted into carbon dioxide, water and at the same time release energy.

The above effects are the result of transmitting solutions that do not contain electrolytes, including glucose solution transmission.

Hypoglycemia can develop into acute brain disease characterized by headache, nausea, seizures, coma, brain edema and death.

Children, the elderly, women, patients after surgery, patients with oxygen deficiency, patients with disease on the central nervous system, patients with psychological thirst are at risk of these complications.

Periodic clinical and testing assessment is necessary to control changes in fluid balance, electrolyte levels, acid-base during prolonged intravenous infusion or whenever the patient's conditions or the treatment process ensure the evaluation.

Should be careful in patients at risk of water and electrolyte disorders and electrolytes may be worse due to increased free water load, increased blood glucose, may be required to use insulin.

Hyperglycemia

Glucose solution is so fast that can cause hyperglycemia and osmotic hypertension syndrome. Proposing the risk of complications due to hyperglycemia, adjusting the transmission speed and/or using insulin.

Glucose intravenously must be cautious in the following patients:

Impact on insulin secretion

Venous glucose prolonged glucose and related hyperglycemia can cause insulin secretion stimulated by glucose.

Hypersensitivity reaction

Hypersensitivity reactions include reported anaphylactic reaction. Glucose solution should be cautious in patients with allergies to corn and corn products. Immediately stop transmission if there is any symptom of hypersensitivity reaction. Appropriate treatment according to clinical symptoms.

Feeding syndrome

Restoration in patients with severe malnutrition can lead to feeding syndrome is characterized by the change of potassium, phosphorus, magnesi in cells due to the patient becoming assimilated. Thiamin and fluid deficiencies can also occur. Need to monitor carefully and slowly increase the nutritional dose while avoiding excessive feeding can prevent complications.

Liver disorders

Bile disorders include bile stasis, fatty liver, fibrosis and cirrhosis, which can lead to liver failure, cholecystitis, gallstones that have been recorded in some patients using intravenous nutrition.

The cause of this disorder is due to many factors and differences between patients. Patients with abnormal test parameters or other signs of liver disease should be assessed initially by doctors who have experience in liver diseases to determine the ability to cause disease and contributing factors and thereby offer reasonable treatment and prevention interventions.

Infection of catheter and blood infection

Bacterial and bacterial infections may occur due to the use of venous catheter to transmit intravenous products, poor maintenance of catheter or by using infected solutions.

Immune inhibition and other factors such as hyperglycemia, malnutrition and/or pathological status can cause patients to have infection complications.

Be careful with symptoms and tests such as fever, chills, leukemia, technical complications with equipment used in treatment, hyperglycemia can help early detect blood infections.

can minimize infections with focus on sterile techniques at the location of the catheter, good maintenance, sterile techniques when producing nutritional products.

precipitate

Precipitation of pulmonary vessels has been reported in patients using intravenous sugars. Some deaths have occurred.

It is necessary to periodically check the solution, the transmission rope, the catheter to precipitate.

If signs of respiratory failure occur, it is necessary to stop transmitting and making a reasonable assessment.

Do not transmit glucose solution along with blood through a set of lines because it can cause hemolysis and obstruction.

Pediatric patients

Transmission speed and transmission volume depend on age, weight, clinical condition, patient metabolism, simultaneous treatment and need to be decided by a doctor who has experience in using infusion therapy for pediatric patients.

To avoid the possibility of death when infusing to babies, it is necessary to be particularly cautious about the method of transmission. When using syringes for infusion or medication for babies, do not connect the fluid to the syringe.

When using an infusion pump, all clamps on the transmission line must be locked before removing the transmission line from the transmission pump or turning off the infusion pump. This is required regardless of whether the device has the function of locking the flow.

Must regularly monitor the transmission and infusion pumps.

Issues related to blood sugar in pediatric patients

infants, especially premature babies with low weight, are at risk of increasing or hypoglycemia, so it is necessary to closely monitor during the use of glucose intravenous fluid to ensure appropriate blood sugar, avoiding potential side effects in the long run.

Hypoglycemia in newborns can cause prolonged seizures, coma and brain damage. Hyperglycemia is associated with cerebral hemorrhage, bacterial infections and melasma in the late stage, retinopathy due to premature birth, necrotic bowelitis, bronchial dysplasia, prolonged hospital stay and death.

Issues related to blood hypoglycetia in pediatric patients

Children (including newborns and older children) are at risk of hypoglycemia, as well as sodium hypoglycemia.

Need to strictly control the electrolyte levels in plasma.

Rapid recovery of hypoglycemia reduces penetration causes potential danger (because of the risk of serious neurological complications).

used in the geriatrics

When choosing an infusion solution, the transmission speed, the volume of the geraxy patient, it is necessary to consider the possibility of diseases such as heart failure, liver failure, kidney failure, other diseases and simultaneous medications.

Signs to note and recommend

The ability to drive and operate machinery

does not affect driving and operating the machine.

Pregnancy

Used for pregnant women, but need to be cautious in labor.

Glucose transmission during labor can lead to insulin production in the fetus, related to the risk of hyperglycemia and metabolic acidosis in the fetus as well as the hypoglycemic reaction in infants.

Breastfeeding period

Used for nursing women.

Drug interaction

Need to calculate the effect of glucose solution on blood sugar and water balance, electrolytes when used for patients who are treating other drugs that control blood sugar, fluid balancing, electrolytes.