The best replacement for d5w is ns.

The best alternatives to d5w are rated as following:
★★★★★  ns
★★★  d5ns
★  normal saline
★  d5
★  d10w
★  lactated ringers
★  d50
★  dextrose 5%
★  lactated ringer

Your alternative for d5w is not listed? Suggest!
Speaking about d5w, one probably shouldn't forget about normal saline.

Other search terms related to d5w and their ratings are:
★★★★★ normal saline
★★★★ blood transfusion
★★★★ ringer's
★★★ ringers
★★★ potassium chloride iv
★★ ringer's lactate
ns
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