Dextrose

Question 1

Dextrose Drug Classification

Answer 1

Carbohydrate

Question 2

Dextrose Mechanism of Action

Answer 2

Raises blood glucose simply by added presence directly into vasculature

Question 3

Dextrose Onset

Answer 3

< 1 minute

Question 4

Dextrose Peak Effects

Answer 4

Varies

Question 5

Dextrose Duration

Answer 5

Varies

Question 6

Dextrose Half-Life

Answer 6

N/A

Question 7

Dextrose Indications / Field Use

Answer 7

Hypoglycemia, hypoglycemia during neonatal resuscitation (D10 only)

Question 8

Dextrose Contraindications

Answer 8

Hyperglycemia

Question 9

Dextrose Side Effects / Adverse Reactions

Answer 9

Tissue necrosis / phlebitis at injection site

Question 10

Dextrose Dose (Adult)

Answer 10

25g slow IV/IO [D10 or D50] or until dose administered yields appropriate mental status

Question 11

Dextrose Dose (Pedi)

Answer 11

0.5 - 1 g/kg slow IV/IO [D10 or D25]

Question 12

Dextrose Precautions

Answer 12

Local venous irritation may occur in smaller veins, caution patient with increased ICP or cerebral edema, D50 should not be used in patients younger than 16 years, but may be diluted 1:1 with sterile water to make D25

Question 13

Dextrose Drug - Drug interactions

Answer 13

None in EMS