DEXTROSE 10%

Question 0

PHARMACOLOGY OF DEXTROSE 10%

Answer 0

A slightly hypertonic crystalloid solution

Composition:

• Sugar 10% dextrose
• Water

Question 1

PRESENTATION OF DEXTROSE 10%

Answer 1

25g in 250 mL infusion soft pack

Question 2

ACTIONS OF DEXTROSE 10%

Answer 2

• Provides a source of energy (dextrose: stored in the liver & muscles as glycogen)
• Supplies body water

Question 3

PRIMARY EMERGENCY INDICATIONS FOR DEXTROSE 10%

Answer 3

Diabetic hypoglycaemia

(BGL <4mmol/L) in Pts with an altered conscious state who are unable to self administer oral glucose

Question 4

CONTRAINDICATIONS FOR DEXTROSE 10%

Answer 4

Nil of significance in a ACS Pt with Hypoglcaemia

Question 5

PRECAUTIONS FOR DEXTROSE 10%

Answer 5

Nil of significance in Pt w Hypo

Question 6

ROUTE OF ADMINISTRATION OF DEXTROSE 10%

Answer 6

IV Infusion

Question 7

SIDE EFFECTS OF DEXTROSE 10%

Answer 7

Nil of significance in Pt w Hypo

Question 8

ONSETS & DURATION OF DEXTROSE 10%

Answer 8

Onset: 3min
Peak: n/a
Duration: Depends on severity of hypoglycaemic episode

Question 9

DEXTROSE 10% DOSAGE

Answer 9

15g (150 mL) IV
(then flush with 10mL saline)

Repeat 10g (100mL) @3/60 if inadequate response, saline flush