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Dextrose 50% in Water (D50W)
Dextrose is a simple sugar that the body can rapidly metabolize to create energy.
None in hypoglycemia
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.
Glucagon is a protein secreted by pancreatic cells that causes a breakdown of Glycogen into glucose
Hypoglycemia without IV access and to reverse BETA blocker OD. Calcium channel Blocker OD (CB OD)
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
- 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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