Can 5% Dextrose Infusion Help Treat Diarrhea In Adult Patients?
… can 5% dextrose infusion fluid be used as an intravenous fluid for adult patients suffering from diarrhea? …
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Diarrhea is a complaint that can occur in patients with digestive disorders characterized by the form of bowel movements with more fluid consistency than the pulp, with an increased frequency of bowel movements and can be accompanied by other comorbid complaints. In patients with diarrhea, loose, soft or diarrhea can occur several times a day, so that patients can experience excessive wasting of body fluids through diarrhea, which can have implications for causing the patient to experience mild to severe hydration marked by initial symptoms of dehydration in the form of thirst, volume or urinary frequency begins to decrease, skin elasticity begins to decrease, the tongue starts to dry or the eyes feel dry. Treatment for diarrhea is aimed at maintaining the body's fluid needs or restoring body fluid balance, so as to prevent dehydration. Furthermore, the handling of causes of dehydration is based on the results of clinical examinations that have been carried out.
If the diarrhea patient needs to prevent dehydration and restore the body's fluid balance, then at an early stage, this can be done by:
1. consume water as often as possible
2. consume ORS to help maintain the body's fluid and electrolyte balance
3. infusion if the patient is at risk of moderate to severe dehydration or in accordance with the clinical condition of the patient, such as the patient vomiting while drinking ORS or water
Thus, infusion is carried out if the rehydration effort cannot be carried out properly or the patient experiences moderate or severe fluid loss, accompanied by signs or symptoms such as low skin elasticity, slight urination, or coward eyes. So that the administration of isotonic crystalloid infusion with lactated ringer or normal saline can be given to prevent dehydration and treatment of dehydration. With isotonic crystalloid liquids, fluid and electrolytes lost due to diarrhea can be given and replaced. So that administration of 5% dextrose fluid is not given during the initial period of dehydration treatment, this is to prevent hyponatremia and cerebral edema. After the patient's condition has stabilized and improved, the administration of D5 can be considered.
However, all this needs to be done in direct consultation with the doctor in charge at the hospital or inpatient clinic concerned, so that supervision and administration of rehydration fluids can be done to help restore the body's fluid and electrolyte balance.
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