Dextrose Oral Preparation

Question 0

Drug classification

Answer 0

Hyperglycemic agent

Question 1

Trade name (3)

Answer 1

1. Glucose paste
2. Glucose gel
3. Glucose solution

Question 2

Actions

Answer 2

Provides an oral source of glucose rapidly utilized for cellular metabolism

Question 3

Indication

Answer 3

Conscious diabetic patient was signs/symptoms of hypoglycemia

Question 4

Contraindication (3)

Answer 4

1. Patients with an ALOC (depressed)
2. Patients complaining nausea
3. Patients taking precose(Acarbose)

Question 5

Adverse Effects (2)

Answer 5

1. Nausea/vomiting

2. Aspiration

Question 6

Administration - solution

Answer 6

75-100 gm PO, sipped slowly

Question 7

Administration- paste/gel

Answer 7

1 inch of paste placed between cheek and gum

Question 8

Pediatrics - solution

Answer 8

1 gm/kg PO, slipped slowly

Question 9

Pediatric - paste

Answer 9

No recommended

Question 10

Onset

Answer 10

Within minutes

Question 11

Duration

Answer 11

Depends on degree and cause of hypoglycemia

Question 12

Precaution

Administer only to patients who can hold the bottle and drink without assistance

Answer 12

Rationale

May result in aspiration in a patient with a decreased level of consciousness of vomiting occurs

Question 13

Precaution

Have suction available

Answer 13

Rationale

Protect airway

Question 14

Precaution

Place patient in the recovery position

Answer 14

Rationale

Protect airway

Question 15

Note

Answer 15

Entire bottle not be administered if improved is noted in the patient’s condition. Acarbose(precose) requires dextrose to be given IVP to reverse hypoglycemia

S/S
Fatigue
Malaise
Nervousness
Trembling
Irritability 
Headache
Hunger
Cold sweats
Tachycardia
Pallor

Question 16

How supplied

Answer 16

Tube containing 30 gm in 31 ml