dextrose 5% and lactated ringer's in plastic container
Dextrose 5% and Lactated Ringer's in Plastic Container is a combination medicine containing Calcium Chloride, Dextrose, Potassium Chloride, Sodium Chloride, and Sodium Lactate.
Calcium Chloride and Dextrose and Potassium Chloride and Sodium Chloride and Sodium Lactate · by Otsuka Icu Medcl
Key facts
- Active ingredient
- Calcium Chloride and Dextrose and Potassium Chloride and Sodium Chloride and Sodium Lactate
- Form
- Injectable
- Strength
- Calcium Chloride 20MG/100ML; Dextrose 5GM/100ML; Potassium Chloride 30MG/100ML; Sodium Chloride 600MG/100ML; Sodium Lactate 310MG/100ML
- Type
- Prescription (Rx)
- Brand or generic
- Brand-name
- Manufacturer
- Otsuka Icu Medcl
- What the pharmacy pays
- ~$0.04 per ml — not your price
- FDA application
- NDA017608
What is Dextrose 5% and Lactated Ringer's in Plastic Container?
From the FDA label:These products are sterile, nonpyrogenic solutions each containing isotonic concentrations of electrolytes (with or without dextrose) in water for injection. The solutions containing dextrose and electrolytes are hypertonic; those containing only electrolytes are isotonic. They are administered by intravenous infusion for parenteral replacement of extracellular losses of fluid and electrolytes, with or without minimal carbohydrate calories. Each 100 mL of Lactated Ringer's Injection, USP contains sodium chloride 600 mg, sodium lactate, anhydrous 310 mg, potassium chloride 30 mg and calcium chloride, dihydrate 20 mg. May contain hydrochloric acid and/or sodium hydroxide for pH adjustment. A liter provides 9 calories (from lactate), sodium (Na+), 130 mEq, potassium (K+) 4 mEq, calcium (Ca++) 3 mEq, chloride (Cl−) 109 mEq and lactate [CH3CH(OH) COO−] 28 mEq. The electrolyte content is isotonic (273 mOsmol/liter, calc.) in relation to the extracellular fluid (approx. 280 mOsmol/liter). The pH of the solution is 6.6 (6.0 − 7.5). Each 100 mL of Lactated Ringer's and 5% Dextrose Injection, USP contains dextrose, hydrous 5 g plus the same ingredients and mEq values as Lactated Ringer's Injection, USP (contains only hydrochloric acid for pH adjustment). A liter provides 179 calories (from dextrose and lactate) and has a hypertonic osmolar concentration of 525 mOsmol (calc.). The pH is…
How to use
The dose is dependent upon the age, weight and clinical condition of the patient. As reported in the literature, the dosage and constant infusion rate of intravenous dextrose must be selected with caution in pediatric patients, particularly neonates and low birth weight infants, because of the increased risk of hyperglycemia/hypoglycemia. Drug Interactions Additives may be incompatible. Consult with pharmacist, if available. When introducing additives, use aseptic technique, mix thoroughly and do not store. The presence of calcium limits their compatibility with certain drugs that form precipitates of calcium salts, and also prohibits their simultaneous infusion through the same administration set as blood because of the likelihood of coagulation. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit. See PRECAUTIONS .
Side effects
Reactions which may occur because of the solution or the technique of administration include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation and hypervolemia. If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate therapeutic countermeasures and save the remainder of the fluid for examination if deemed necessary.
Warnings
Important safety information
Solutions containing calcium ions should not be administered simultaneously through the same administration set as blood because of the likelihood of coagulation. Solutions which contain potassium should be used with great care, if at all, in patients with hyperkalemia, severe renal failure and in conditions in which potassium retention is present. Solutions containing sodium ions should be used with great care, if at all, in patients with congestive heart failure, severe renal insufficiency and in clinical states in which there exists edema with sodium retention. In patients with diminished renal function, administration of solutions containing sodium or potassium ions may result in sodium or potassium retention. Solutions containing lactate ions should be used with great care in patients with metabolic or respiratory alkalosis. The administration of lactate ions should be done with great care where there is an increased level or an impaired utilization of lactate ions, as in severe hepatic insufficiency. The intravenous administration of these solutions can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, overhydration, congested states or pulmonary edema. The risk of dilutional states is inversely proportional to the electrolyte concentrations of administered parenteral solutions. The risk of solute overload causing congested states with peripheral and pulmonary edema is directly proportional to the electrolyte concentrations of such solutions.
Who should not take Dextrose 5% and Lactated Ringer's in Plastic Container
Solutions containing lactate are NOT FOR USE IN THE TREATMENT OF LACTIC ACIDOSIS.
Overdose — what happens if you take too much
In the event of overhydration or solute overload, re-evaluate the patient and institute appropriate corrective measures. See WARNINGS , PRECAUTIONS , and ADVERSE REACTIONS .
U.S. Poison Control: call or text 1-800-222-1222 (free, 24/7). In an emergency call 911. From the FDA label; not medical advice.
Dosage forms
Injectable
The forms currently marketed in the U.S., per the FDA National Drug Code Directory.
Ways to save
Ask for the generic
Same active ingredient, far cheaper. Is there a generic? →
Request a 90-day supply
Bulk fills usually lower the per-dose price vs monthly refills.
Use copay cards
Manufacturer copay cards & patient-assistance programs — especially for brand drugs.
Compare alternatives
A same-class option may cost less. See alternatives →
Frequently asked questions
- How much does Dextrose 5% and Lactated Ringer's in Plastic Container cost?
- Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $0.04 per ml, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins.
- Is there a coupon or discount for Dextrose 5% and Lactated Ringer's in Plastic Container?
- pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Dextrose 5% and Lactated Ringer's in Plastic Container. To pay less, ask your prescriber or pharmacist whether a generic equivalent exists, check the manufacturer's copay/savings card and patient-assistance program, and compare a pharmacy discount card against your insurance copay. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
- Who makes Dextrose 5% and Lactated Ringer's in Plastic Container?
- Dextrose 5% and Lactated Ringer's in Plastic Container is marketed by Otsuka Icu Medcl. You can see Otsuka Icu Medcl's full profile, rating, and other products on pharmaranks.
- Is Dextrose 5% and Lactated Ringer's in Plastic Container a brand-name or generic drug?
- Dextrose 5% and Lactated Ringer's in Plastic Container is a brand-name product with the active ingredient Calcium Chloride and Dextrose and Potassium Chloride and Sodium Chloride and Sodium Lactate.
- Is Dextrose 5% and Lactated Ringer's in Plastic Container available over the counter?
- No. Dextrose 5% and Lactated Ringer's in Plastic Container is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
- What forms does Dextrose 5% and Lactated Ringer's in Plastic Container come in?
- Dextrose 5% and Lactated Ringer's in Plastic Container is currently marketed as injectable, per the FDA's National Drug Code Directory.
- Is Dextrose 5% and Lactated Ringer's in Plastic Container FDA-registered?
- Dextrose 5% and Lactated Ringer's in Plastic Container is on record with the U.S. FDA under application number NDA017608. You can verify this on its official FDA label.
- Is Dextrose 5% and Lactated Ringer's in Plastic Container safe?
- There's no single safe-or-not verdict, and we don't yet have a composite recall-safety score for Dextrose 5% and Lactated Ringer's in Plastic Container. Review its FDA-label side effects and warnings below, and always consult a licensed professional.
- What are the side effects of Dextrose 5% and Lactated Ringer's in Plastic Container?
- Dextrose 5% and Lactated Ringer's in Plastic Container's side effects are taken directly from its FDA label. From the label: Reactions which may occur because of the solution or the technique of administration include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation and hypervolemia. If an adverse reaction does occur,… Both common and serious reactions are documented in full on this page. This is general reference from the FDA, not medical advice — always consult a professional.
Clinical content sourced from the FDA label via openFDA (U.S. FDA). View the FDA label on DailyMed → Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.
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