Dextrose (25%, 50%)

Question 1

Dextrose classification

Answer 1

Simple carbohydrate

Question 2

Dextrose action

Answer 2

1. Provides glucose required for metabolic needs

2. Spares body proteins

Question 3

Dextrose onset and duration

Answer 3

1. Immediate

2. Unknown

Question 4

Dexterous indication

Answer 4

1. Suspected hypoglycemia
2. Coma of unknown origin
3. Crush injury syndrome

Question 5

Dextrose contraindication

Answer 5

1. ICP

2. Hyperglycemia

Question 6

Dextrose cautions

Answer 6

None

Question 7

Dextrose dosage and administration

Answer 7

Adult: 50 mL of D50W (25gm) IV/IO Push, may repeat x1
Pediatric: < 60. 2 yo or older, give 1-2ml/kg of D50W IV/IO if BG < 60 repeat

Question 8

Dextrose adverse reaction

Answer 8

Extravasation

Question 9

Dextrose reference in protocol

Answer 9

Medical (ALOC)
OB/GYN (neonatal resuscitation)
Trauma (crush injury syndrome)