Glucosado Braun (Glucose Monohydrate)

Glucosado Braun is employed in clinical settings where rapid glucose supplementation or fluid replacement is required.

• Treatment of acute hypoglycemia when oral intake is not feasible.
• Component of parenteral nutrition regimens for patients unable to receive enteral feeding.
• Fluid and electrolyte replacement in perioperative or critical‑care environments.
• Support of carbohydrate needs during prolonged fasting or surgical procedures.
• Maintenance of plasma glucose concentration in patients receiving insulin therapy.

Adverse reactions to Glucosado Braun are generally related to the intravenous administration of a carbohydrate solution.

Common

• Mild hyperglycemia, especially when administered in large volumes.
• Local irritation or pain at the injection site.
• Nausea or transient vomiting.
• Electrolyte imbalance such as mild hyponatremia.

Serious

• Severe hyperglycemia leading to osmotic diuresis.
• Allergic or anaphylactic reaction manifested by rash, itching, or respiratory distress.
• Volume overload causing pulmonary edema in patients with compromised cardiac function.

When using Glucosado Braun, clinicians should observe several precautions to minimize risks and ensure appropriate therapy.

• Assess blood glucose levels before and during infusion to avoid excessive hyperglycemia.
• Adjust infusion rate in patients with renal or hepatic impairment.
• Monitor fluid balance closely in individuals at risk for volume overload.
• Use caution in patients with known hypersensitivity to glucose solutions.
• Avoid rapid administration in neonates and infants due to metabolic instability.
• Review electrolyte status, particularly sodium and potassium, before initiating therapy.

Glucosado Braun may interact with other agents that affect glucose metabolism or fluid balance.

Avoid

• Concurrent high‑dose insulin therapy without glucose monitoring.
• Co‑administration with other hyperosmolar dextrose solutions.
• Use with catecholamine infusions that can increase glucose production without adequate monitoring.

Use with caution

• Concurrent diuretics that may exacerbate electrolyte shifts.
• Vasopressor agents in patients with compromised cardiac function.
• Parenteral nutrition mixtures containing other carbohydrates; adjust total carbohydrate load.