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9 Cards in this Set

  • Front
  • Back
DEXTROSE 50%
Class MOA
Class
Carbohydrate
hypertonic solution

Mechanism of Action
Rapidly increases serum glucose levels.
Short-term osmotic diuresis
DEXTROSE 50%
I
Indications
Hypoglycemia
altered level of consciousness
coma of unknown origin
seizure of unknown origin
DEXTROSE 50%
CI
Contraindications
Intracranial hemorrhage
delirium tremens
ineffective without thiamine
DEXTROSE 50%
AR
Adverse Reactions
tissue necrosis
Warmth
pain
burning
thrombophlebitis
rhabdomyositis
DEXTROSE 50%
DI
Drug Interactions
Sodium bicarbonate
coumadin
DEXTROSE 50%
How supplied
How Supplied
25 gm/ 50 ml pre-filled syringes (500 mg/ml)
DEXTROSE 50%
Dosages and admin
Dosage and Administration
Adult: 12.5-25 gram slow IV
Pediatric: 0.5-1 gm/kg/dose slow IV

May repeat doses as needed
DEXTROSE 50%
DOA
Duration of Action
Onset: less than 1 minute.
Peak effects: variable.
Duration: Variable.
DEXTROSE 50%
Specials
Special Considerations
Administer thiamine prior to D50 in known alcoholic patients.
Draw blood sugar before administering.
Do not administer to patients with known CVA unless hypoglycemia documented.