Endocrine

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Author:
wesparm
ID:
158458
Filename:
Endocrine
Updated:
2012-06-12 22:57:32
Tags:
medic 13
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Description:
Endocrine medic drugs
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  1. Dextrose 50% in Water (D50W)
    Carbohydrate

    - Description: Dextrose is a simple sugar that the body can rapidly metabolize to create energy.

    - Indications: Hypoglycemia

    - Contraindications: None in hypoglycemia

    - Precautions: Increased ICP. Determine Blood-Glucose levels before administration. Ensure good venous access.

    • - Dosage/Route: 25 g D50W (50mL) IV.
    • Pedi: 2-4 mL/kg of 25% solution (Over 1 year) 10% solution for under 1 year.
  2. Glucagon (GlucaGen)
    Hormone/Anti-hypoglycemic

    - Description: Glucagon is a protein secreted by pancreatic cells that causes a breakdown of Glycogen into glucose

    - Indications: Hypoglycemia without IV access and to reverse BETA blocker OD. Calcium channel Blocker OD (CB OD)

    - Contraindications: None

    - Precautions: Cardiovascular or renal impairment. Effective only if there are sufficient stores of glycogen in the liver.

    • - Dosage/Route: Hypoglycemia: 1mg IM/SC repeat 5 to 20 mins.
    • Pedi: 0.1 mg/kg IM/SC/IV for child < 10 kg
    • Beta Blocker OD / CB OD: 3 mg IV over 1 min
    • Pedi: 50 - 150 mcg/kg IV over 1 min
  3. Oxytocin (Pitocin)
    Hormone

    - Description: Oxytocin is a naturally occurring hormone that causes the uterus to contract, thereby inducing labor, encouraging delivery of the placenta, and controlling postpartum hemorrhage.

    - Indications: severe postpartum hemorrhage.

    - Contraindications: Hypersensitivity, prehospital administration before delivery of infant/infants.

    - Precautions: Before delivery may induce uterine rupture and fetal dysrhythmias, hypertension, intracranial bleeding, or asphyxia. Uterine tone, ECG, and vital signs should be monitored during administration.

    - Dosage/Route: 3 - 10 units IM after delivery of placenta. 10 - 20 units in 1,000 mL in D5W or NS IV titrated to effect.

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