D5% and head trauma

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and besides that effect, D5% will easy escape from blood vessels into
interstitial and intracellular space and induce hyponatremia  therefore
support the possible cerebral oedema.lactic acidosis can also be induced
with D5%, and worsen the already existing cerebral ischemia.
 Ante

2008/10/31 Abdulrhman Alsawadi <a.a.alsawadi at sms.ed.ac.uk>

>
> There was an argument between ICU physician and neurosurgeon about the use
> of dextrose 5% in fluid management of the head injured patients. The main
> point was the dextrose will be metabolized and produce CO2 which might
> induce hypercapnia, the effect which nobody need it in the head injury.
>
> This is about the maintenance fluid; of course nobody is going to start
> dextrose for initial resuscitation.
>
> Any idea about it?
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