Glucosal M Infusion

IV infusion of glucose with salt (e.g. 5% dextrose in 0.9% saline "DNS", or dextrose with 0.45%/0.18% saline) for:

• Replacing water, salt and some calories in dehydration, vomiting, diarrhoea, after surgery
• Maintenance fluids when a patient cannot eat or drink
• Vehicle for IV medicines

Given only by health professionals. Volume and rate are set by the doctor according to age, weight, losses, blood sugar and electrolytes.

• Typical adult maintenance is roughly 25–30 ml/kg/day of fluid (adjusted).
• Children: weight-based calculation; isotonic solutions (with 0.9% saline) are usually preferred to avoid low sodium.

• Fluid overload, pulmonary oedema, severe heart failure
• High blood sugar not controlled, hyperosmolar states
• High sodium or chloride (for saline-containing fluids)
• Severe kidney failure with no urine

• Fluid overload (swelling, breathlessness), high blood sugar, low potassium (if not added), high/low sodium depending on the solution
• Vein irritation, thrombophlebitis, infection at the cannula site
• Too-fast infusion: fluid in the lungs

• Monitor fluid balance, blood sugar and electrolytes, especially in children, elderly, heart, kidney or liver disease, diabetes.
• Give thiamine before glucose in malnourished or alcohol-dependent patients.
• Use only if clear and the bag is intact; discard any unused portion.

Used when needed with monitoring (blood sugar and sodium during labour).

• Corticosteroids (more salt/water retention, higher sugar)
• Lithium (sodium changes alter lithium levels)
• Insulin and diabetes medicines (blood sugar changes)
• Do not run through the same line as blood

Fluid overload, high sugar, electrolyte disturbances — stop infusion and seek medical review.

Store below 30°C; do not freeze. Do not use if cloudy or leaking.