Oral Electrolyte Replacement Solutions

Fluid and Electrolyte Therapy

0749-0720/90 $0.00

+ .20

Appendix 2 Parenteral Electrolyte Replacement Solutions

Gigi S. Frederick, BS, RPh *

*Assistant Director of Pharmacy, Veterinary Teaching Hospital, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina Revised, 1989, from the original version that appeared in The Veterinary Clinics o/North America: Food Animal Practice, Vol. 1, No.3, 1985, pp 643-651, on calf diarrhea. Veterinary Clinics of North America: Food Animal Practice-Vol. 6, No.1, March 1990

155

I-'"

C'.It

~

10

140

Bovo-Lyte (Quality Plus)

1100

90

Cal-Dextro Special (Fort Dodge Laboratories)

33

150

500

500

10,100

165

25

6-8.2

900

1000

(ml)

HOW SUPPLIED

842

90

Cal-Dextro K (Fort Dodge Laboratories)

720

6.7

pH

500

487

(mOsm/L)

(gIL)

275

OSMOLALITY

DEXTROSE

45

28

(mEqfL)

GLUCONATE

1100

90

Cal-Dextro C (Fort Dodge Laboratories)

130

ACETATE

(mEqfL) (mEqfL)

LACTATE

Parenteral Replacement Solutions

500

309

3

109

CI(mEqfL)

Appendix 2.

165

842

90

487

5

3

Mg++ Ca++ (mEqfL) (mEqfL)

Cal-Dextro 2 (Fort Dodge Laboratories)

Calcium gluconate 10% inj (various mfg)

27

4

131

(manufacturer)

Acetated Ringer's (various mfg)

PRODUCT

K+ (mEqfL)

Na+ (mEqfL)

Contains 9.6 gIL elemental phosphorus

Also available in concentrate

COMMENTS

......

~

.....

24

25

Dextrose 5% and Electrolyte 48 (Baxter)

3.0

77

77

Dextrose 2.5% and VII normal saline (various mfg)

25

78

2

74

Dextrose 2.5% andYz Ringer's (Baxter)

2

55

2

280

65

1078

Dextrose 2.5% and VII lactated Ringer's (various mfg)

DCM Special with Phosphorus (Coopers Animal Health)

23

14

50

25

25

25

150

4-6.5

4.8

280

347

5.0

5.0

280

265

Continued

250,500, 1000 Also contains 3mEqfL phosphorus

250,500,1000

500

250,500,1000

Also contains 28mEqfL phosphorus

~

~

O!:J

50

50

34

34

Dextrose 5% and v. normal saline (various mfg)

50

19

28

19

109

Dextrose 5% and 0.11% sodium chloride (various mfgs)

3

4

130

50

50

COMMENTS

150, 250, 500, 1000

320

1000

500, 1000

HPO.

250,500, 1000 Also contains 15mEqfL

(ml)

HOW SUPPLIED

500,1000

5.0

4.7-5.3

5.0

pH

290

525

560

402

(mOsm/L)

(gfL)

Dextrose 5% and lactated Ringer's (various mfg)

155

20

OSMOLALITY

DEXTROSE

4

4

48

(mEqjL)

GLUCONATE

147

35

40

ACETATE

(mEqjL) (mEqjL)

LACTATE

Parenteral Replacement Solutions (Continued).

(mEqjL)

CI-

Appendix 2.

Mg2+ Cai + (mEqfL) (mEqfL)

Dextrose 5% and Ringer's (various mfg)

(Baxter)

75

Dextrose 5% and Electrolyte

(manufacturer)

PRODUCT

K+ (mEq/L)

Na+ (mEq/L)

""""

~

=

100

100

154

77

154

154

77

154

Dextrose 5% and 0.9% sodium chloride (various mfg)

Dextrose 10% and VI normal saline (various mfg)

Dextrose 10% and 0.9% sodium chloride (various mfg)

50

813

660

560

405

50

77

77

Dextrose 5% and VI normal saline (various mfg)

355

330

50

51

51

Dextrose 5% and 0.3% sodium chloride (various mfg)

50

38.5

38.5

Dextrose 5% and 0.224% sodium chloride (various mfg)

4.7

4.3

500, 1000

500,1000

250,500,1000

250,500,1000

250,500,1000

250,500,1000

Continued

~

~

0

PRODUCT

13

40

17

65

Isolyte-G with D5W (KendallMcGaw)

Isolyte-H with D5W (KendallMcGaw)

10

140

Isolyte-E with D5W(Kendall-McGaw)

17

10

140

Isolyte-E (KendallMcGaw)

65

35

40

lonosol-T with D5W(Ceva)

Isolyte-G with D10W (KendallMcGaw)

5

145

Equilyte Solution (Quality Plus)

(manufacturer)

Appendix 2.

5

5

6

3

3

3

3

40

16

50

100

50

150

47

49

50

50

20

59

(g/L)

(mEqjL)

150

103

103

40

104

DEXTROSE

GLUCONATE

3.5

5.3

370

3.4

5.6

6

4.7

pH

805

555

565

315

406

(mOsm/L)

OSMOLALITY

Parenteral Replacement Solutions (Continued).

K+ MgH CINa+ Ca2+ ACETATE LACTATE (mEqfL) (mEqfL) (mEqfL) (mEqfL) (mEqfL) (mEqfL) (mEqfL)

COMMENTS

1000

1000

1000

1000

500,1000

Contains 70 mEqfLNH..

Contains 70 mEqjLNH..

Contains 8 mEqjL citrate

250,500, 1000 Also contains 5mEqjL HPO..

900

(ml)

HOW SUPPLIED

.....

~ .....

5

10

204

204

140

130

35

35

130

140

Isolyte-S with D5W (Kendall-McGaw)

IVS-1830 (Quality Plus)

Kalamin (Quality Plus)

Kal-K-Dex (Quality Plus)

Lactated Ringer's (various mfg)

Magnadex (Quality Plus)

5

4

425

16

40

Isolyte-R with D5W (KendallMcGaw)

200

3

425

4.5

19

25

Isolyte-P with D5W (KendallMcGaw)

5

35

38

Isolyte-M with D5W (KendallMcGaw)

160

3

3

109

235

235

102

98

40

3

3

23

3

44

28

27

23

118

294

294

275

50

50

50

23

24

50

20

273

550

380

350

405

6.5

5.3

5.5

5.5

900

250,500,1000 3000,5000

900

900

900

1000

500,1000

Continued

Contains 425 mEqfL phosphorus

Contains 8 mEqfL citrate

250, 500, 1000 Contains 3 mEqfL phosphate

5.3-5.6 250,500, 1000 Contains 15 mEqfLHP04

~

Q') t-:)

3

3

13

5

5

5

40

140

140

140

Normosol-M wih D5W (Ceva)

Normosol-R (Ceva)

Normosol-R with D5W (Ceva)

Normosol-R, pH 7.4 (Abbott Laboratories) 3

3

3

13

40

Multisol-M withD5W (Ceva)

3

3

140

Multisol-R withD5W (Ceva)

5

5

140

4060

98

98

98

40

40

98

98

27

27

27

16

16

27

27

23

23

23

23

50

50

50

50

(gm/L)

(mEqfL)

23

DEXTROSE

GLUCONATE

294

552

294

368

368

552

294

2000

(mOsm/L)

OSMOLALITY

Parenteral Replacement Solutions (Continued).

K+ CICa++ Mg++ Na+ ACETATE LACTATE (mEq/L) (mEq/L) (mEq/L) (mEq/L) (mEq/L) (mEq/L) (mEq/L)

Multisol-R 3x (Ceva)

Magnesium sulfate 50% (various mfg)

(manufacturer)

PRODUCT

Appendix 2.

7.4

5.7

5.5

5.5

5.5

5.7

6.2

pH

500,1000

500,1000

500,1000

500,1000

1000

1000

100 (to make 3L)

2

(ml)

HOW SUPPLIED COMMENTS

~

Q')

~

5

16

10

10

13

5

5

40

140

140

40

140

140

Plasmalyte-M withD5W (Baxter)

Plasmalyte-R (Baxter)

Plasmalyte-R with D5W (Baxter)

Plasmalyte 56 withD5W (Baxter)

Plasmalyte 148 (Baxter)

Plasmalyte 148 withD5W (Baxter)

8

103

10

10

Potassium Chloride 0.075% in D5W (various mfg)

27

98

2000

27

16

47

98

2000

3

3

3

3

40

8

103

3 47

12

40

3

12

27

98

3

Potassium chloride, 2 mEqjml (various mfg)

5

5

5

140

Plasmalyte A, pH 7.4 (Baxter)

23

23

23

50

50

362

50

270

4000

547

294

564

312

380

50

50

294

4-8

5-5.5

5.5

5-5.5

5.5

5.5

5.5

7.4

1000

10,20,100, 200

500,1000

500, 1000

500,1000

1000

1000

1000

500,100,5000

Continued

~

""""" 0')

PRODUCT

50

40

40

Potassium chloride 0.3% inD5W (various mfg)

8.0

8.0

8.0

1190

1800

2000

900

1000

Sodium bicarbonate 7.5% (Lymphomed)

Sodium bicarbonate 8.4% (various mfg)

155

595

Sodium bicarbonate 5% (various mfg)

4

5.8

147

Ringer's injection (various mfg)

309

4

330

50

30

30

Potassium chloride 0.22% inD5W (various mfg)

1000

310

50

20

50

200

500

250,500,1000

500,1000

(ml) 1000

HOW SUPPLIED

290

pH

(mOsm/L)

(gm/L)

(mEq/L)

OSMOLALITY

DEXTROSE

GLUCONATE

20

K+ Mg++ CINa+ Ca++ LACTATE ACETATE (mEqJL) (mEq/L) (mEqJL) (mEqfL) (mEqfL) (mEqfL) (mEqjL)

Parenteral Replacement Solutions (Continued).

Potassium chloride 0.15% inD5W (various mfg)

(manufacturer)

Appendix 2.

Contains 1000 mEq/LHC03

Contains 900 mEq/LHC03

Contains 595 mEq/LHC03

COMMENTS

1-01

""

~

154 154

308

4.5

50,250,500 1000,3000, 5000

Gigi S. Frederick, BS, RPh Pharmacy Department College of Veterinary Medicine North Carolina State University 4700 Hillsborough Street Raleigh, NC 27606

Address reprint requests to:

Abbott Laboratories, North Chicago, IL 60064; Baxter, Deerfield, IL 60015; Ceva, Overland Park, KS 66212; Cooper's Animal Health, Kansas City, MO 64141; Fort Dodge Laboratories, Fort Dodge, IA 50501; Kendall-McGaw, Santa Cena, CA 92799; LyphoMed, Rosemont, IL 60018; Quality Plus, Fort Dodge, IA 50501

(various mfg)

0.9%

Sodium chloride