DEXTROSE (generic name)

Question 1

BRAND NAME OF DEXTROSE

Answer 1

BRAND NAME

D 50

Question 2

DRUG CLASS OF DEXTROSE

Answer 2

DRUG CLASS

Carbohydrate, Anti-hypoglycemic

Question 3

DOSE & ADMINISTRATION OF DEXTROSE

Answer 3

D & A
ADULT: 12.5 -25 grams of a 50 % solution SIVP. May be repeated as necessary.
PEDI 1 YEAR OR OLDER: 0.5 - 1 gram/kg of a 25 % solution SIVP. May be repeated as necessary.
NEONATES & INFANTS: See chart

Question 4

INDICATIONS OF DEXTROSE

Answer 4

INDICATIONS

Hypoglycemia, Altered LOC, Coma of unknown origin, Seizure of unknown origin, status epilepticus.

Question 5

MECHANISM OF ACTION OF DEXTROSE

Answer 5

MECHANISM OF ACTION

Rapidly increases serum glucose level. Short term osmotic diuresis.

Question 6

CONTRAINDICATIONS OF DEXTROSE

Answer 6

CONTRAINDICATIONS
Intracranial Hemorrhage (Traumatic or Stroke) Hyperglycemia.

Question 7

ADVERSE EFFECTS OF DEXTROSE

Answer 7

ADVERSE EFFECTS

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

Question 8

PRECAUTIONS OF DEXTROSE

Answer 8

PRECAUTIONS

Hypertonic solution will cause tissue necrosis if infiltration of the IV occurs