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13 Cards in this Set
- Front
- Back
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CLASS
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Hyperglycemic; Carbohydrate
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ACTION (1-3)
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1)Hyperkalemia
2)Probides short term osmotic diruesis 3)Quickly elevates blod glucose levels |
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Action 4
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4) a sugar that is rapidly used by the body for energy and metabolism
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USE
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1)Hypoglycemia/insuling OD
2)ALOC of unknown etiology 3)seizures of unknown etiology |
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SIDE EFFECTS
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CNS: may cause neurosymptoms in alcoholic PT
CARDIO: may aggravate HTN & CHF Other: TIssue necrosis if site infilitrates |
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CONTRAindications
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Relative: intracranial hemorrhage unless low blood sugar
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PRECAUTIONS (1-2)
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1)BS levels should be taken prior
2) Use the largest vein possible |
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PRECAUTIONS (3-4)
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3)Thiamine should be given to alcoholic pt before to prevent Wernickes
4)never withold dextrose with sever hypoglycemia, even with IC |
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Drug interactions
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none in the emergency setting
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Preparations
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25g/50ml preload (D50W)
2.5g/10ml preload(D25W)-INFANT |
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ADULT dose
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25g may be repeated q 5min prn as indicated by BS levels
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PEDIATRIC Dose
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0.5g/kg D25( D 10 for neonnates) may be rptd q5 min prn as indicated by BS Note: D50->D25 by diluting the vol.1:1
D50->D10 by diluiting the vol4:1 |
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ROUTE
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IV; note: typically given when BS is below 60 the 70mg/dl range
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