Dextrose Flashcards

1
Q

Dextrose Class:

A

Carbohydrate, hypertonic solution

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2
Q

Dextrose Mechanism of Action:

A

Rapidly increases serum glucose levels

Short-term osmotic diuresis

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3
Q

Dextrose Indications:

A
Hypoglycemia
Altered level of consciousness
Coma of unknown etiology
Seizure of unknown etiology
Status epilepticus (controversial)
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4
Q

Dextrose Contraindications:

A

Intracranial hemorrhage
Delirium tremens
Ineffective without thiamine

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5
Q

Dextrose Adverse Reactions:

A
Extravagation leads to tissue necrosis
Warmth
Pain
Burning
Thrombophlebitis
Rhabdomyositis
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6
Q

Dextrose Drug Interactions:

A

Sodium bicarbonate

Coumadin

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7
Q

Dextrose How Supplied:

A

25 gm/ 50 ml pre-filled syringes (500 mg/ml)

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8
Q

Dextrose Dosage and Administration:

A

Adult:

  1. 5-25 gram slow IV; may be repeated as necessary Pediatric:
  2. 5-1 gm/kg/dose slow IV; may be repeated as necessary
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9
Q

Dextrose Onset:

A

Less than 1 minute

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10
Q

Dextrose Peak Effect:

A

Variable

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11
Q

Dextrose Duration:

A

Variable

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12
Q

Dextrose Special Considerations:

A
  • Administer thiamine prior to D50 in known alcoholic patients
  • Draw blood sugar before administering
  • Do not administer to patients with known CVA unless hypoglycemia documented
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