
The administration of intravenous solutions can cause fluid and/or solute overload resulting in dilution of serum electrolyte concentrations, overhydration, congested states or pulmonary edema. The risk of dilutional states is inversely proportional to the electrolyte concentration. The risk of solute overload causing congested states with peripheral and pulmonary edema is directly proportional to the electrolyte concentration.
Solutions containing potassium ions 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.
In patients with diminished renal function, administration of solutions containing potassium ions may result in potassium retention.
There is currently no manufacturer warning information available for this drug.
These intravenous solutions are indicated for use in adults and pediatric patients as sources of electrolytes, calories, and water for hydration.
(See chart below for quantitative information.)
Potassium Chloride in 5% Dextrose Injections USP are sterile, nonpyrogenic and contain no bacteriostatic or antimicrobial agents. These products are intended for intravenous administration.
The formulas of the active ingredients are:
| Ingredients | Molecular Formula | Molecular Weight |
|---|---|---|
| Potassium Chloride USP | KCl | 74.55 |
| Hydrous Dextrose USP | ![]() |
198.17 |
| Composition – Each 100 mL contains: | Concentration of Electrolytes (mEq/liter) |
Calories per liter | Calculated Osmolarity mOsmol/liter |
pH | |||
| Solution | Hydrous Dextrose USP | Potassium Chloride USP | |||||
| Potassium | Chloride | ||||||
| 0.15% Potassium Chloride in 5% Dextrose Injection USP (20 mEq K+/liter) |
5 g | 0.15 g | 20 | 20 | 170 | 295 | 4.3 (3.5–6.5) |
| 0.30% Potassium Chloride in 5% Dextrose Injection USP (40 mEq K+/liter) |
5 g | 0.3 g | 40 | 40 | 170 | 330 | 4.3 (3.5–6.5) |
| Water for Injection USP qs | |||||||
The EXCEL® Container is Latex-free, PVC-free, and DEHP-free.
The plastic container is made from a multilayered film specifically developed for parenteral drugs. It contains no plasticizers and exhibits virtually no leachables. The solution contact layer is a rubberized copolymer of ethylene and propylene. The container is nontoxic and biologically inert. The container-solution unit is a closed system and is not dependent upon entry of external air during administration. The container is overwrapped to provide protection from the physical environment and to provide an additional moisture barrier when necessary.
Addition of medication should be accomplished using complete aseptic technique.
The closure system has two ports; the one for the administration set has a tamper evident plastic protector and the other is a medication addition site. Refer to the Directions for Use of the container.