"D50" D50W

Question 1

“D50” D50W

Class:

Answer 1

Carbohydrate.

Question 2

“D50” D50W

Mechanism of Action:

Answer 2

Increases glucose concentration in blood, reverses acute hypoglycemia.

Question 3

“D50” D50W

Indications:

Answer 3

Hypoglycemia in adults with altered mental status.

Question 4

“D50” D50W

Contraindications:

Answer 4

Hyperglycemia and intracranial hemorrhage.

Question 5

“D50” D50W

Precautions:

Answer 5

Check BGL before and after. D50 doesn’t last long - encourage patient to eat.

Question 6

“D50” D50W

Side Effects:

Answer 6

Localized irritation can still occur with a patent line.

Question 7

“D50” D50W

Interactions:

Answer 7

None significant.

Question 8

“D50” D50W

Dosage:

Answer 8

25g slow IV push. Repeated 10-15 minutes if BGL is still below 70mg/dl.

Question 9

“D50” D50W

Routes:

Answer 9

IV Push.

Question 10

“D50” D50W

Fact:

Answer 10

Contraindication for hemorrhagic shock is questionable.

Question 11

“D50” D50W

NH Notes:

Answer 11

Preferring 25g of “D10” over “D50” is recommended for pediatrics wit hypoglycemia. Target BGL is 60mg/dl.