ACP Dextrose D50W/D25W

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Author:
spy187
ID:
42495
Filename:
ACP Dextrose D50W/D25W
Updated:
2010-10-23 18:38:28
Tags:
EMT Drugs ACP Alberta pre hospital care pharmacology Dextrose D50W D25W
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  1. Dextrose D50W/D25W
    Class:
    • carbohydrate
    • antihypoglycemic
  2. Dextrose D50W/D25W
    Actions
    • Rapidly metabolized calories given parenterally,
    • which promotes glycogen stores
    • and prevents ketosis in patients with inadequate oral intake
  3. Dextrose D50W/D25W
    Indications:
    • Hypoglycemia
    • Coma of unknown origin (if unable to obtain blood glucose reading)
  4. Dextrose D50W/D25W
    Contraindications:
    Hyperglycemia Patients with increased ICP or intracranial hemorrhage
  5. Dextrose D50W/D25W
    Adverse effects:
    • Hyperglycemia
    • Thrombophlebitis is phlebitis (vein inflammation) related to a thrombus (blood clot)
  6. Dextrose D50W/D25W
    Onset
    30-60 seconds
  7. Dextrose D50W/D25W
    Duration:
    depends upon degree and cause of hypoglycemia
  8. Dextrose D50W/D25W
    Adult Dosage :
    • 0.5 – 1.0 g/kg of D50W slow IVP
    • Second dose may be given if first dose ineffective
    • Suspected head injury 12.5 g D50W slow IVP
    • - Re-check chemstrip in opposite limb and assess patient
  9. Dextrose D50W/D25W
    Pediatric Dosage
    0.5-1.0 g/kg of D25W (2-4 mls/kg) slow IVP
  10. Dextrose D50W/D25W
    Route
    IV
  11. Dextrose D50W/D25W
    Interactions/Precautions:
    • Dextrose greater (>) than 5% is considered a hypertonic solution.
    • It can be very irritating to the vein and could cause cerebral bleeding if not given slowly
    • Patients with increased intracranial pressure
    • - (give a half dose and reassess – Never withhold, if the patient’s metabolic needs are deficient)
    • Ensure patency of IV – can cause tissue sloughing if interstitial (or Necrosis)
    • IV cathalon should be 18g minimum as solution is very viscous
    • Note Dextrose:
    • - 50% = 0.50 g/ml
    • - 25% = 0.25 g/ml

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