Dextrose

Front 1

Dextrose 50%
Class

Back 1

Carbohydrate

Front 2

Dextrose 50%
Action

Back 2

Increases BGL by providing free sugar quickly released into the blood stream

Front 3

Dextrose 50%
Onset/Duration

Back 3

Onset= 1 minute
Duration= depends on degree of hypoglycemia

Front 4

Dextrose 50%
Indications

Back 4

ADULT: Symptomatic pt with ALOC or unresponsive to oral glucose agents

PEDS: Symptomatic pt unresponsive to oral glucose agents

Front 5

Dextrose 50%
Dosage/Route
Adult
If BS <75 mg/dL

Back 5

ADULT: 25 Gm IVP

if pt remains symptomatic and BS remains <75 mg/dL- MR

Front 6

Dextrose 50%
Dosage/Route
Peds
If BS <75 mg/dL
(infant <60, neonate <45)

Back 6

PEDS: PDC 25% solution IVP

if pt remains symptomatic and BS remains <75 mg/dL
(Infant <60, Neonate <45)
MR

Front 7

Dextrose 50%
Contraindications

Back 7

NONE

Front 8

Dextrose 50%
Side Effects

Back 8

Local venous irritation/ infection

Hyperglycemia

Front 9

Dextrose 50%
Special Info "SUGARS"
Conc: 25 Gm/ 50 mL

Back 9

S: Symptomatic patient or patient signing AMA, repeat blood sugar. Repeat blood sugar increases chance of needle stick.

U: Unnecessary for increased ICP/CVA with out hypoglycemia. Hypertonic solution can increase cerebral edema.

G: Giving D50 for PED/NEO: discard 25 ml of D50W; aspirate 25ml of normal saline back into the pre-load which will give you 25% solution.

A: Assessing the effecting of D50W administration.

R: remember one bolus of D50W will not adversely effect the hyperglycemic patient

S: Solution is necrotic with infiltration; make sure injection is intravenous; aspirate before/halfway through injection of D50W