Dextrose

Question 1

Brand name of dextrose

Answer 1

D50

Question 2

Drug class of D50

Answer 2

Carbohydrate, anti hypoglycemic

Question 3

Indications of D50

Answer 3

Hypoglycemia, altered level of consciousness, coma of unknown origin, seizure of unknown origin, status epilepticus.

Question 4

Mechanism of D50

Answer 4

Rapidly increases serum glucose levels. Short-term osmotic diuresis

Question 5

Contraindications of D50

Answer 5

Intracranial hemorrhage (Traumatic or Stroke)
 Hyperglycemia

Question 6

Adverse effects of D50

Answer 6

Extravasation leads to tissue necrosis, pain and burning from IV infusion, hyperglycemia

Question 7

Precautions of D50

Answer 7

Hypertonic solution will cause tissue necrosis

If infiltration of the IV occurs

Question 8

Adult dose and admin for hypoglycemia

Answer 8

12.5-25 grams of a 50% solution SIVP. May be repeated as necessary.

Question 9

Pedi dose for 1 yr or older with hypoglycemia

Answer 9

0.5-1 g/kg of a 25% solution SIVP. May be repeated as necessary.

Question 10

Neonate and infant dose

Answer 10

See chart