D50

Question 1

Dextrose 50%

Class

Answer 1

Carbohydrate, hypertonic solution

Question 2

Dextrose 50%

Mechanism of Action

Answer 2

Rapidly increase serum glucose levels. Short-term osmotic diuresis

Question 3

Dextrose 50%

Indications

Answer 3

Hypoglycemia, altered level of consciousness.

Question 4

Dextrose 50%

Contraindications

Answer 4

Intracranial Hemorrhage.

Question 5

Dextrose 50%

Adverse Reactions

Answer 5

Extravasation leads to tissue to necrosis. Warmth, pain, burning, thrombophlebitis, rhabdomyolysis, hyperglycemia

Question 6

Dextrose 50%

Drug Interactions

Answer 6

None

Question 7

Dextrose 50%

Adult Dosage

Answer 7

12.5-25g slow IV; may be repeated as necessary

Question 8

Dextrose 50%

Pediatric Dosage

Answer 8

0.5 g/kg/dose slow IV; may be repeated as necessary

Question 9

Dextrose 50%

Onset

Answer 9

Less than One Minute

Question 10

Dextrose 50%

Peak Effects

Answer 10

Variable

Question 11

Dextrose 50%

Duration

Answer 11

Variable

Question 12

Dextrose 50%

Special Considerations

Answer 12

Administer thiamine to patients prior to D50 administration if he or she is a known alcoholic.

Draw blood to determine glucose level prior to administration.