dextrose.txt

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Author:
papeirce
ID:
76972
Filename:
dextrose.txt
Updated:
2011-04-03 13:18:22
Tags:
paramedic medications drugs prehospital dextrose
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Dextrose 50% (D50)

    Trade Name
    • Dextrose
    • D50
    • D50W
    • Glucose
  2. Dextrose 50% (D50)

    Class
    • Carbohydrate
    • Hypertonic Solution
  3. Dextrose 50% (D50)

    Mechanism of Action
    • Rapidly increases serum glucose levels.
    • Short-term osmotic diuresis
  4. Dextrose 50% (D50)

    Indications
    • Hypoglycemia
    • Altered Level of Consciousness
    • Coma of Unknown Etiology
    • Seizure of Unknown Etiology
    • Status Epilepticus (controversial)
  5. Dextrose 50% (D50)

    Contraindications
    • Intracranial Hemorrhage
    • Delirium Tremens
    • Ineffective Without Thiamine (?)
  6. Dextrose 50% (D50)

    Adverse Reactions
    • Extravasation leads to tissue necrosis
    • Warmth
    • Pain
    • Burning
    • Thrombophlebitis
    • Rhabdomyositis (rare form of cardiomyopathy)
  7. Dextrose 50% (D50)

    Drug Interactions
    • Sodium bicarbonate
    • Coumadin
  8. Dextrose 50% (D50)

    How Supplied
    25 gm/ 50 ml pre-filled syringes (500 mg/ml)
  9. Dextrose 50% (D50)

    Dosage and Administration
    Adult
    12.5-25 gram slow IV; may be repeated as necessary
  10. Dextrose 50% (D50)

    Dosage and Administration
    Pediatric
    • 0.5-1 gm/kg/dose slow IV; may be repeated as necessary
    • D10%: 0.5 gm/kg IV Bolus (for neonates)
    • D25%: 0.5 gm/kg IV Bolus (if estimated body weight < 50kg)
    • D50%: 0.5 gm/kg IV Bolus (if estimated body weight> 50 kg)
  11. Dextrose 50% (D50)

    Duration of Action
    • Onset: less than 1 minute
    • Peak effects: Variable
    • Duration: Variable
  12. Dextrose 50% (D50)

    Special Considerations
    • Administer thiamine prior to D50 in known alcoholic patients
    • Draw blood sugar before administering
    • Do not administer to patients with known CVA unless hypoglycemia documented

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