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13 Cards in this Set

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