Dextrose

Card Set Information

Author:
bryantfire
ID:
224085
Filename:
Dextrose
Updated:
2013-08-10 14:13:03
Tags:
Drugs UAV Paramedic
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Description:
Drug Drill
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  1. Dextrose
         (a) Name
         (b) Classification
        
    • (a) Dextrose 50% in Water (D50W)
    •      Dextrose 25% for pediatrics
    • (b) Hyperglycemic Agent
  2. Dextrose
         Action
    Provides immediate source of glucose that can be rapidly used for cellular metabolism
  3. Dextrose
         (a) Indications
         (b) Contrainidications
         (c) Adverse Effects
    • (a) Altered LOC due to hypoglycemia
    • (b) Patients without documented hypoglycemia
    • (c) Not significant if above indications
  4. Dextrose
         Administration
        
    50ml (25g) IV/IO may repeat one time
  5. Dextrose
         Pediatric
    • 0-2yrs:
    •      2ml/kg of D25W slow IV/IO at 10ml/min.
    •      May repeat one time
  6. Dextrose
         (a) Onset
         (b) Duration
    • (a) 30-60 sec
    • (b) Depends on the degree and cause of
    •        hypoglycemia
  7. Dextrose
         (a) Precautions
    • (a) Verify hypoglycemia with a blood glucose
    •        test.
    •      D50W may increase cerebral ischemia or
    •       infarction caused by intracranial
    •       hemorrhage or increase cerebral edema
    •       in patients with normal or elevated blood
    •       glucose levels.
    •      Establish IV in largest vein possible
    •      Patients may experience pain, warmth or
    •       burning at IV site and may develop
    •       phlebitus, sclerosis or thrombosis of the
    •       vein.
    •      Ensure IV patency by aspirating prior to
    •       administrations and then every 10-15ml
    •       during administration. Concentrated
    •       dextrose cause tissue necrosis if injected
    •       into the interstitial space.

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