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12 Cards in this Set
- Front
- Back
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Dextrose Class
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Carbohydrate
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Dextrose Action
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- Increases blood glucose by providing free sugar quickly released into the blood stream
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Dextrose Onset
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1 minute
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Dextrose Duration
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Depends on degree of hypoglycemia
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Dextrose Indications - ADULT
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Symptomatic patient with altered LOC or unresponsive to oral glucose agents:
- If BS < 75mg/dL - If patient remains symptomatic and BS remains: < 75mg/dL MR |
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Dextrose Dosage/Route - ADULT
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25 Gm IVP
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Dextrose Indications - PEDS
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Symptomatic patient unresponsive to oral glucose agents:
- If BS: < 75mg/dL (Infant < 60mg/dL, neonate < 45mg/dL) - If patient remains symptomatic and BS remains: < 75mg/dL (Infant < 60mg/dL, neonate < 45mg/dL) MR |
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Dextrose Dosage/Route - PEDS
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PDC 25% solution IVP
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Dextrose Contraindications
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None
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Dextrose Side Effects
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- Local venous irritation / infection
- Hyperglycemia |
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Dextrose Concentration
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25 Gm / 50 mL
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Dextrose Special Information
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- FOR PEDS / NEWBORN DOSING: Discard 25 mL of D50W; aspirate 25 mL of normal saline back into pre-load which will give you a 25% solution
- Tissue necrosis occurs with infiltration; make sure injection is intravenous; aspirate before and halfway through injection of D50W. - One bolus of D50W will not adversely affect the hyperglycemic patient. - Repeat blood sugar ONLY if patient remains symptomatic or patient is signing AMA, every repeat blood sugar increases possibility of needle stick. - Do not use for increased ICP or CVA without hypoglycemia; hypertonic solution can increase cerebral edema. - Assess the effectiveness of D50W administration: = Altered LOC - reassess the LOC; recheck BGL if no improvement in symptoms |
