DEXTROSE 50% SOLUTION (D50)

Question 1

CLASS

Answer 1

CARBOHYDRATE

ANTIHYPOGLYCEMIC

Question 2

ACTION

Answer 2

RAPIDLY INCREASES BLOOD SUGAR LEVEL

Question 3

INDICATIONS

Answer 3

HYPOGLYCEMIA

ALTERED MENTAL STATUS, ETIOLOGY UNKNOWN

SEIZURE IN DIABETICS

Question 4

DOSAGE / ROUTE

Answer 4

SEE HAWAII SO

Question 5

STANDARD PREP

Answer 5

25 GM (50% DEXTROSE) IN 50 CC PRELOADED SYRINGE

Question 6

PEDS DOSE

Answer 6

SEE HAWAII SO {AFTER YOU DILUTE THE DEXTROSE TO 25% DEXTROSE [1CC 50% DEXTROSE TO 1CC NS], THE YOU CAN CALCULATE THE AMOUNT TO BE GIVEN AT 2CC/KG OF THIS DILUTED MIXTURE.

Question 7

SIDE EFFECTS

Answer 7

VENOUS IRRITATION

LOCALIZED TISSUE NECROSIS

INTRACEREBRAL HEMORRHAGE IN NEONATES

Question 8

PRECAUTIONS

Answer 8

USE LARGE BORE CATHETER

UNDILUTED D50 IN NEONATES CAUSE INTRACEREBRAL BLEEDS

SHOULD BE PRECEDED BY THIAMINE ( IF AVAILABLE ) IN SUSPECTED ALCOHOLIC PTS. TO AVOID THE POSSIBILITY OF INDUCING ENCEPHALOPATHY IN THIAMINE DEFICIENT PATIENTS.