Dextrose Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

D50

Class

A
  • Carbohydrate
  • Hypertonic solution
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

D50

Mechanism of action

A
  • Rapidly increases serum glucose levels
  • Short term osmotic diuresis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

D50

Indication

A
  • Hypoglycemia
  • Altered LOC
  • Coma of unknown etiology
  • SZ of unknown etiology
  • Status epilepticus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

D50

Contraindications

A
  • Intracranial hemorrhage (relative contra)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

D50

Adverse Reactions

A
  • Extravasation causes tissue necrosis
  • Warmth, pain, burning, thrombophlebitis
  • Rhabdomyolysis
  • Hyperglycemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

D50

Drug interactions

A
  • Coumadin
  • Sodium Bicarbonate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

D50

Dosage and administration

A
  • Adult:
    • 12.5-25 gram, slow IV
  • Ped:
    • 0.5-1.0 g/kg slow IV
  • Repeat as needed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

D50

Duration of action

A
  • Onset: Less than 1 min
  • Peak: Varies
  • Duration: Varies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

D50

Special considerations

A
  • Administer thiamine prior to D50 in known alcoholics
  • Draw blood for lab BGL prior to pushing D50
  • Do not give to PT with CVA unless hypoglycemia is documented
How well did you know this?
1
Not at all
2
3
4
5
Perfectly