Dextrose

Question 1

Dextrose:
Classification -
1. ___

Answer 1

Classification -

1. Simple carbohydrate.

Question 2

Dextrose: Action -

1. ___
2. ___

Answer 2

Action:

1. Provides glucose required for metabolic needs.
2. Spares body proteins.

Question 3

Dextrose:
Onset of Action -
1. ___

Answer 3

Onset of Action -

1. Immediate

Question 4

Dextrose:
Duration of Action -
1. ___

Answer 4

Duration of Action -

1. Varies

Question 5

Dextrose: 
Indication - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_ 
4. \_\_\_

Answer 5

Indication -

1. Suspected hypoglycemia.
2. Coma of unknown origin.
3. Crush Injury Syndrome.
4. Routine IV administration.

Question 6

Dextrose:
Contraindication -
1. ___

Answer 6

Contraindication -

1. Hyperglycemia

Question 7

Dextrose:
Use with Caution -
1. ___

Answer 7

Use with Caution -

1. Increased intracranial pressure in constant infusion.

Question 8

Dextrose: 
Dosage and Administration - 
1. Hypoglycemia: 
     a. Adult: \_\_\_ 
          i. \_\_\_ 
          ii. \_\_\_

Answer 8

Dosage and Administration -
1. Hypoglycemia:
a. Adult: Titrate and/or repeat until patient at
baseline and blood glucose remains > 80.
i. 50 mL of D50W (25 gm) IV/IO push, or
ii. 250 mL of D10W (25 gm) IV/IO.

Question 9

Dextrose:
Adverse Reaction -
1. ___

Answer 9

Adverse Reaction -

1. Extravasation causes tissue sloughing with D25W and D50W.

Question 10

Dextrose:
Dosage and Administration -
1. Hypoglycemia:
a. Pediatric: ___
i. 50% dextrose (___ gm/mL) (>= ___ years old):
___
ii. 25% dextrose (___ gm/mL): ___, or
iii. 10% dextrose (___ gm/mL): ___, or
iv. 5% dextrose (___ gm/mL): ___
v. Maximum concentration for newborn: ___

Answer 10

Dosage and Administration -
1. Hypoglycemia:
a. Pediatric: Titrate and/or repeat until patient at
baseline and blood glucose remains > 60.
i. 50% dextrose (0.5 gm/mL) (>= 8 years old); give
1 mL/kg, or
ii. 25% dextrose (0.25 gm/mL); give 2 mL/kg, or
iii. 10% dextrose (0.1 gm/mL); give 5 mL/kg, or
iv. 5% dextrose (0.05 gm/mL); give 10 mL/kg if
volume tolerated.
v. Maximum concentration for newborn: 12.5%
(0.125 gm/mL).

Question 11

Dextrose:
Dosage and Administration -
1. IV maintenance:
a. D5W - Adult and Pediatric: ___

Answer 11

Dosage and Administration -
1. IV maintenance:
a. D5W - Adult and Pediatric: Route and indication
dependent.