Dextrose

Question 1

What is the indication for oral glucose?

Answer 1

Suspected hypoglycemia & able to follow commands (i.e. able to swallow and take PO meds)

Question 2

Adult & Pediatric dosage of oral glucose

Answer 2

15g (the whole tube)

Question 3

How is oral glucose administered?

Answer 3

Buccally
In the gums and in da cheek area

Question 4

T/F glucose requires base contact for administration?

Answer 4

FALSE!

Question 5

List the contradictions for oral glucose

Answer 5

-Unable to swallow
-unable to protect airway
-Unable to take PO meds for another reason
-Can’t obey commands

Question 6

Indications for dextrose?

Answer 6

Hypoglycemia & unconscious / AMS pt

Question 7

What is the adult dose of D50?

Answer 7

50mL

Question 8

What is the adult dose of D10

Answer 8

250mL

Question 9

What is the pediatric dose of D10?

Answer 9

5mL/kg

Question 10

T/F you can administer D50 to pediatric patients

Answer 10

FALSE

Question 11

T/F Dextrose requires contact with medical control to administer to a patient

Answer 11

FALSE

Question 12

What two routes can dextrose be administered?

Answer 12

IV & IO
(IO is the last resort)

Question 13

What should you rule out as a possible cause of ALOC before giving dextrose?

Answer 13

Stroke

Question 14

What happens if dextrose extravasates from the vein

Question 15

What can happen if dextrose extravasates from the vein

Answer 15

Tissue necrosis

Question 16

Describe how to make D10 from D50

Answer 16

take 20mL of D50 and add that to 80mL of NS
(20% of 50 is 10%)

Question 17

What should you do before administering dextrose?

Answer 17

Obtain your IV blood samples (if possible)

Question 18

What does it mean to aspirate the IV line and why do we do this before administering dextrose (or any IV fluids)

Answer 18

To ensure that flow in the line is good and the catheter is inserted correctly

Question 19

List 4 signs and symptoms of hypoglycemia

Answer 19

-AMS
-Agitation & anxiety
-Pale skin
-Lightheadedness
-Headache
-etc