Dextrose

Question 1

Classification of Dextrose

Answer 1

carbohydrate, antihypoglycemic

Question 2

Action of Dextrose

Answer 2

rapidly increases serum glucose levels, short-term osmotic diuresis

Question 3

Indications for Dextrose

Answer 3

hypoglycemia, altered level of consciousness, coma of unknown origin, seizure of unknown origin, status epilepticus, Sickle Cell Crisis

Question 4

Contraindications of Dextrose

Answer 4

Hypersensitivity to med, intracranial hemorrhage

Question 5

Onset of Dextrose

Answer 5

less than 1 min

Question 6

Duration of Dextrose

Answer 6

variable

Question 7

Elimination of Dextrose

Answer 7

absorbed and metabolized

Question 8

Side effects of Dextrose

Answer 8

extravasation causes tissue necrosis, warmth/burning to site

Question 9

Adult dosage of Dextrose

Answer 9

12.5- 25g of 50% solution IVP (25-50mL D50)

Question 10

Pediatric dosage of Dextrose for children >1 year old

Answer 10

0.5- 1 g/kg of 25% solution IVP (2-4 mL/kg D25)

Question 11

Neonate/infant dosage of Dextrose

Answer 11

0.2- 0.4 g/kg of 10% solution IVP (2-4 mL D10)

Question 12

Geriatric dosage of Dextrose

Answer 12

12.5- 25 grams of 50% solution IVP

Question 13

OD management

Answer 13

Tx: symptomatically. Fluid bolus only in severe cases of hyperglycemia, not indicated after D50 administration)

Question 14

Routes of admin

Answer 14

IV/IO

Question 15

Precautions/ special considerations

Answer 15

Preg category class: C
May aminister Thiamine prior to D50 in known alcoholic pts (not required) don’t aminister to known CVA unless hypoglycemia is documented.

Question 16

Dilution recipe for D25

Answer 16

Draw 50mL from 100 mL NS bag and waste; add 50 mL D50 to bag.

Question 17

Dilution recipe for D10

Answer 17

Draw 20 mL from 100 mL NS bag and waste; add 20mL D50 to bag.

Question 18

Dilution recipe for D5

Answer 18

Draw 10 mL from 100 mL NS bag and waste; add 10mL D50 to bag.

Question 19

Storage requirements

Answer 19

Store at room temp 68-77ºF