Dextrose: LR and D5LR
What type of Dextrose Solution (Intravenous) is your dengue patient being given?
Table of Commonly Used Intravenous IV (Dextrose) Solutions
The answer to this question may be important. Why?
Because some IV or dextrose solutions cause platelets counts to go down, and stay down for a long time, long after ADSX has already "cured" the dengue. Especially, the LR and D5LR types of dextrose solutions.
If possible, tell your doctor to use only NS type
If possible do not LR or D5LR type of dextrose.
Read these to know more about the side effects of D5LR
D5LR (Lactated Ringer's Solution)
What are Lactated Ringers (Risks and Contraindications)
DLR or D5LR increases death in cardiac arrest cases
DLR and D5LR exacerabates renal problems
Read below for more information.
IV Drips (Dextrose Solutions)
Some of the ADSX users chose not to be hospitalized.
And we have observed that they recover faster than those in the hospital.
One of the reasons is that outpatients do not use "dextrose" or intravenous (IV) drips. So what?
Based on our working theory, IV drips slow down the recover of dengue patients but we will not reveal here the reason.
Read the following table so that you will know what your patient is taking.
Table of Commonly Used IV Solutions (Dextrose Solutions)
Potassium Supplement: Is your patient being given any potassium supplement?
Note: This is not a medical advice, this is just a starting point for your own research
Be aware of the new experiments being undertaken by doctors regarding dengue management.
Some doctors have started giving potassium supplement to dengue patients. Some of these are in tablet form and some are being mixed in the IV or dextrose drips.
Some use calium acetate.
What happens when the patient is given potassium supplement? The patient usually suffers "acidic" stomach pains. And the platelet of the patient dives to a lower figure, sometimes dropping from 100k to 30k in just a matter of 24 hours.
Unfortunately, the patient does not know he is being given a potassium supplement.
Sometimes, the potassium is part of the IV dextrose drip itself such as DLR or D5LR intravenous solutions.
The pH of DLR is 6.6. The pH of D5LR is 4.9 (very acidic)
So if your patient is already showing no signs of dengue after having taken ADSX solution but still feels extreme acidic stomach pain and his platelet is not rising but still staying at a low level despite his physical recovery, then try to inquire about the potassium supplement.
What dextrose solutions are okay? This is not a medical advice but 0.9% Sodium Chloride NS is okay. But remember, if it were up to us, we don't want any dextrose solution. Because ADSX is fluid enough. Besides IV solutions are "acidic."
Read these to know more about the side effects of D5LR
D5LR (Lactated Ringer's Solution)
What are Lactated Ringers (Risks and Contraindications)
DLR or D5LR increases death in cardiac arrest cases
DLR and D5LR exacerabates renal problems
Use of dextrose in intravenous resuscitation fluids is common practice; however, this study indicates that 5% dextrose solutions, even if administered in physiologic quantities, greatly worsens the outcome of survivable cardiac arrest. Twelve adult male mongrel dogs were premedicated with morphine, anesthetized with halothane, instrumented, intubated, and ventilated. Each dog was first given 500 ml of either lactated Ringer's (LR) (n = 6) or 5% dextrose in LR (D5LR) (n = 6). Halothane was stopped and fibrillation was induced (60 Hz). Blood glucose just before cardiac arrest was 129 mg/dl in the LR dogs and was increased to 335 mg/dl in the D5LR dogs. After eight minutes of arrest, resuscitation, including internal cardiac massage and standard advanced cardiac life support drug protocols (modified for dogs), was begun. When stable cardiac rhythm was obtained, the chest was closed, and LR or D5LR continued until a total of 1L was given. A neurologic score (0 = normal to 100 = dead) was assigned at 1, 2, 6, and 24 hours. The LR group did not differ statistically from the D5LR group in operative time, number of defibrillatory shocks, time to spontaneous ventilation, time to extubation, or drugs required. Resuscitation was successful in all six LR and five of six D5LR group; however, by 2 hours after resuscitation and thereafter, D5LR group had a significantly greater neurologic deficit (p less than 0.05) than did the LR group. By 9 hours, four of six D5LR dogs displayed convulsive activity and died. At 24 hours the D5LR group had a greater (p less than 0.008) neurologic deficit (82 +/- 11) than did the LR group (21 +/- 7), which walked and ate. We conclude that the addition of 5% dextrose to standard intravenous fluids greatly increases the morbidity and mortality associated with cardiac resuscitation.
Oral Rehydration Solutions (ORS)
ORS are used to manage diarrhea. Some medical professional use it to manage dengue. But you must know something about them.
We were surprised that the solution pH values for infant oral rehydration solutions were this acidic.
The unflavored solutions had an average pH of 4.90 (with a pH range of 4.17 to 5.60).
The twenty-three flavored solutions had an average pH of 4.20 (with a pH range of 3.90 to 4.48).
The average pH of the sixteen “Freezer Pops” was even lower at 3.92 (with a pH range of 3.52 to 4.17).
What does this mean? If it were up to us, we would not highly recommend using ORS to manage dengue.
But, then you should be glad it were not up to us. (If your doctor gives you ORS, just follow your doctor, okay?)
What is your alternative? The ADSX Solution. (Again, if you have no access to ADSX, then use the ORS.)
Table of Commonly Used Intravenous IV (Dextrose) Solutions
The answer to this question may be important. Why?
Because some IV or dextrose solutions cause platelets counts to go down, and stay down for a long time, long after ADSX has already "cured" the dengue. Especially, the LR and D5LR types of dextrose solutions.
If possible, tell your doctor to use only NS type
If possible do not LR or D5LR type of dextrose.
Read these to know more about the side effects of D5LR
D5LR (Lactated Ringer's Solution)
What are Lactated Ringers (Risks and Contraindications)
DLR or D5LR increases death in cardiac arrest cases
DLR and D5LR exacerabates renal problems
Read below for more information.
IV Drips (Dextrose Solutions)
Some of the ADSX users chose not to be hospitalized.
And we have observed that they recover faster than those in the hospital.
One of the reasons is that outpatients do not use "dextrose" or intravenous (IV) drips. So what?
Based on our working theory, IV drips slow down the recover of dengue patients but we will not reveal here the reason.
Read the following table so that you will know what your patient is taking.
Table of Commonly Used IV Solutions (Dextrose Solutions)
Potassium Supplement: Is your patient being given any potassium supplement?
Note: This is not a medical advice, this is just a starting point for your own research
Be aware of the new experiments being undertaken by doctors regarding dengue management.
Some doctors have started giving potassium supplement to dengue patients. Some of these are in tablet form and some are being mixed in the IV or dextrose drips.
Some use calium acetate.
What happens when the patient is given potassium supplement? The patient usually suffers "acidic" stomach pains. And the platelet of the patient dives to a lower figure, sometimes dropping from 100k to 30k in just a matter of 24 hours.
Unfortunately, the patient does not know he is being given a potassium supplement.
Sometimes, the potassium is part of the IV dextrose drip itself such as DLR or D5LR intravenous solutions.
The pH of DLR is 6.6. The pH of D5LR is 4.9 (very acidic)
So if your patient is already showing no signs of dengue after having taken ADSX solution but still feels extreme acidic stomach pain and his platelet is not rising but still staying at a low level despite his physical recovery, then try to inquire about the potassium supplement.
What dextrose solutions are okay? This is not a medical advice but 0.9% Sodium Chloride NS is okay. But remember, if it were up to us, we don't want any dextrose solution. Because ADSX is fluid enough. Besides IV solutions are "acidic."
Read these to know more about the side effects of D5LR
D5LR (Lactated Ringer's Solution)
What are Lactated Ringers (Risks and Contraindications)
DLR or D5LR increases death in cardiac arrest cases
DLR and D5LR exacerabates renal problems
Surgery. 1986 Sep;100(3):505-11.
Dextrose containing intravenous fluid impairs outcome and increases death after eight minutes of cardiac arrest and resuscitation in dogs.
Abstract
- PMID:
- 3738770
- [PubMed - indexed for MEDLINE]
Oral Rehydration Solutions (ORS)
ORS are used to manage diarrhea. Some medical professional use it to manage dengue. But you must know something about them.
We were surprised that the solution pH values for infant oral rehydration solutions were this acidic.
The unflavored solutions had an average pH of 4.90 (with a pH range of 4.17 to 5.60).
The twenty-three flavored solutions had an average pH of 4.20 (with a pH range of 3.90 to 4.48).
The average pH of the sixteen “Freezer Pops” was even lower at 3.92 (with a pH range of 3.52 to 4.17).
What does this mean? If it were up to us, we would not highly recommend using ORS to manage dengue.
But, then you should be glad it were not up to us. (If your doctor gives you ORS, just follow your doctor, okay?)
What is your alternative? The ADSX Solution. (Again, if you have no access to ADSX, then use the ORS.)
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