Dextrose Flashcards
What is the indication for oral glucose?
Suspected hypoglycemia & able to follow commands (i.e. able to swallow and take PO meds)
Adult & Pediatric dosage of oral glucose
15g (the whole tube)
How is oral glucose administered?
Buccally
In the gums and in da cheek area
T/F glucose requires base contact for administration?
FALSE!
List the contradictions for oral glucose
-Unable to swallow
-unable to protect airway
-Unable to take PO meds for another reason
-Can’t obey commands
Indications for dextrose?
Hypoglycemia & unconscious / AMS pt
What is the adult dose of D50?
50mL
What is the adult dose of D10
250mL
What is the pediatric dose of D10?
5mL/kg
T/F you can administer D50 to pediatric patients
FALSE
T/F Dextrose requires contact with medical control to administer to a patient
FALSE
What two routes can dextrose be administered?
IV & IO
(IO is the last resort)
What should you rule out as a possible cause of ALOC before giving dextrose?
Stroke
What happens if dextrose extravasates from the vein
What can happen if dextrose extravasates from the vein
Tissue necrosis
Describe how to make D10 from D50
take 20mL of D50 and add that to 80mL of NS
(20% of 50 is 10%)
What should you do before administering dextrose?
Obtain your IV blood samples (if possible)
What does it mean to aspirate the IV line and why do we do this before administering dextrose (or any IV fluids)
To ensure that flow in the line is good and the catheter is inserted correctly
List 4 signs and symptoms of hypoglycemia
-AMS
-Agitation & anxiety
-Pale skin
-Lightheadedness
-Headache
-etc
