Dextrose Flashcards
1
Q
Dextrose Class:
A
Carbohydrate, hypertonic solution
2
Q
Dextrose Mechanism of Action:
A
Rapidly increases serum glucose levels
Short-term osmotic diuresis
3
Q
Dextrose Indications:
A
Hypoglycemia Altered level of consciousness Coma of unknown etiology Seizure of unknown etiology Status epilepticus (controversial)
4
Q
Dextrose Contraindications:
A
Intracranial hemorrhage
Delirium tremens
Ineffective without thiamine
5
Q
Dextrose Adverse Reactions:
A
Extravagation leads to tissue necrosis Warmth Pain Burning Thrombophlebitis Rhabdomyositis
6
Q
Dextrose Drug Interactions:
A
Sodium bicarbonate
Coumadin
7
Q
Dextrose How Supplied:
A
25 gm/ 50 ml pre-filled syringes (500 mg/ml)
8
Q
Dextrose Dosage and Administration:
A
Adult:
- 5-25 gram slow IV; may be repeated as necessary Pediatric:
- 5-1 gm/kg/dose slow IV; may be repeated as necessary
9
Q
Dextrose Onset:
A
Less than 1 minute
10
Q
Dextrose Peak Effect:
A
Variable
11
Q
Dextrose Duration:
A
Variable
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