DEXTROSE 10% (D10W)

Question 1

DEXTROSE 10% (D10W)

CLASS/ACTION:

Answer 1

ACTION: Glucose Replacement/Nutrient

• Elevates blood glucose levels.

Question 2

DEXTROSE 10% (D10W)

INDICATIONS:

Answer 2

INDICATIONS:

• ALOC
  
  • Adult / Ped:
    
    • BGL
  • Neonate:
    
    • BGL < 40mg/dL

Question 3

DEXTROSE 10% (D10W)

CONTRAINDICATIONS:

Answer 3

CONTRAINDICATIONS:

• No major contraindications for administration.
• Dextrose containing fluids should be used cautiously in patients with suspected increased intracranial pressure.

Question 4

DEXTROSE 10% (D10W)

POTENTIAL SIDE EFFECTS:

Answer 4

POTENTIAL SIDE EFFECTS:

• Hyperglycemia.
• Tissue necrosis if extravasation occurs.

Question 5

DEXTROSE 10% (D10W)

ADULT DOSE/ROUTE:

Answer 5

ADULT DOSE/ROUTE:

 Up to 25 G of D10W = Up to 250ml IV or IO bolus.

May repeat q5min based on patient response (max dose 50 grams).

 Obtain blood glucose reading PRIOR to administration of Dextrose.

Question 6

DEXTROSE 10% (D10W)

PEDIATRIC DOSE/ROUTE:

Answer 6

PEDIATRIC DOSE/ROUTE:

 Neonates < 1 month: D10W, 2 ml/kg IV/IO (0.2 g/kg)

 Children> 1 month: D10W, 5 ml/kg IV/IO (0.5 g/kg, max 25 grams)

Question 7

DEXTROSE 10% (D10W)

NOTES:

Answer 7

NOTES:

• Concentrated dextrose can have a sclerosing effect on veins. Make sure that IV sites are patent by aspirating blood before and during administration of dextrose. Use largest available vein

Question 8

DEXTROSE:

How Supplied?

Answer 8

DEXTROSE:

Supplied:

• 250 mL bags