Dextrose 50% & Glucagon Flashcards
Dextrose 50%
Brand Name
D50
Dextrose 50%
Classes
-carbohydrate
-antihypoglycemic
Dextrose 50%
Supply
prefilled syringe
Dextrose 50%
Mechanism of Action
increases glucose levels in the blood
Dextrose 50%
Indications
-hypoglycemia
-unconsciousness of unknown etiology
Dextrose 50%
Contraindication
head injury
Dextrose 50%
Adverse Reaction
extravasation may cause tissue necrosis
Dextrose 50%
Routes
-IV
-IO
-infusion
Dextrose 50%
Onset
less than 1 minute
Dextrose 50%
Adult Dose
12.5-25 G
Dextrose 50%
Pediatric Dose
IV/IO infusion: 0.5-1.0 Gm/kg of D10 solution over 20 minutes
Dextrose 50%
Special Consideration
-check BGL before
-check BGL after each dose
-confirm hypoglycemia before administering to stroke patient or TBI
-may be used in conjunction with thiamine
-use infusion pump when possible
Glucagon
Brand Name
GlucaGen
Glucagon
Class
-hyperglycemic
-pancreatic hormone
Glucagon
Supply
vial containing drug that requires reconstitution with supplied solution
Glucagon
Mechanism of Action
-converts glycogen to glucose
-increases glucose levels in the blood
-increases force of myocardial contractility
-increases heart rate
Glucagon
Indications
-hemodynamically significant hypoglycemia
- beta-blocker overdose
Glucagon
Contraindication
known hypersensitivity
Glucagon
Adverse Reactions
nausea, vomiting
Glucagon
Route
IM
Glucagon
Onset
1 minute
Glucagon
Adult Dose
1.0 mg
may repeat in 7-10 minutes
Glucagon
Pediatric Dose
5 years or younger/less than 44 pounds: 0.5 mg
5 years or older/greater than 44 pounds: 1.0 mg
may repeat in 7-10 minutes
Glucagon
Special Considerations
-check BGL before administering
-check BGL after each dose
-may be used with D50
