Endocrine Flashcards
D50
P-Dyn
Principal form of glucose for energy
Only energy source for brain
Hypertonic solution
Dextrose 50%
Class
Carbohydrate
D50
Indications
Hypoglycemia (symptomatic)
Typically below 60 mg/dL
D50
A/S
Hyperglycemia
Venous irritation
Thrombophlebitis
D50
Contraindications
Increased ICP
CVA/+ stroke scale with no hypoglycemia
Intracranial hemorrhage
D50
Dose
12.5-25 g
Repeat once
D50
Peds Dose
Adolescent 1-2 ml D50
2-adolescent 2-4 mL D25
Infant-2 5-10 mL D10
Neonate 10-20 mL D5
Glucagon/GlucaGen
Class
Pancreatic hormone
Insulin antagonist
Glucagon/GlucaGen
P-Dyn
Glycogenolysis - stimulates breakdown of glycogen
Gluconeogenesis - stimulates formation of glucose
+Chronotropic
+Inotropic
Inhibits GI mobility
Glucagon/GlucaGen
Indications
Hypoglycemia without IV access
Beta blocker OD
Ca++ channel blocker OD
Glucagon/GlucaGen
Contraindications
Allergy to glucagon/protein compound
Adrenal gland tumors
Islets of Langerhans tumors
Glucagon/GlucaGen
Dose
Hypoglycemia 1 mg IM/SQ q 7-10 min
Calcium/Beta blocker OD
3 mg IV bolus then 3 mg/hr infusion
Glucagon/GlucaGen
Peds Dose
55 lbs/25 kg 1 mg IV/SQ
Insulin/Humulin R
Class
Pancreatic Hormone
Insulin/Humulin R
P-Dyn
Promotes glucose entry into cells
Promotes formation of glycogen
Converts glucose to fat
Decreases BGL
Insulin/Humulin R
Indications
Diabetic ketoacidosis
Hyperosmolar hyperglycemic nonketotic coma HHNK
Hyperkalemia (with dextrose)
Insulin/Humulin R
Dose
10-25 units IV
Infusion of 0.1 units/kg/hr
Insulin/Humulin R
Peds dose
2-4 units or 0.1-0.2 units/kg/hr
Thiamine/Betaxin
Class
Vitamin B1 (water soluble) Anti-Beriberi factor
Thiamine/Betaxin
P-Dyn
Allows/facilitates carbohydrate/glucose metabolization
Thiamine/Betaxin
Indications
Prior to D50 admin with malnutrition/alcoholism
Delerium tremens
Wernicke’s encephalopathy and Korsakoff’s psychosis
Beriberi
Thiamine/Betaxin
Dose
100 mg slow IV/IO/IM
No peds
