Endocrine Flashcards
Dextrose 50%
Another Name
D50W
D50W
Another name
Dextrose 50%
Dextrose 50% (D50W)
Class
Carbohydrate
Dextrose 50% (D50W)
Description
Simple sugar that the body can rapidly metabolize to create energy
Dextrose 50% (D50W)
Indication
Hypoglycemia
Dextrose 50% (D50W)
Contraindications
None in hypoglycemia
Dextrose 50% (D50W)
Precautions
Increased ICP. Determine blood glucose level before administration. Ensure good venous access
Dextrose 50% (D50W)
Dose/Route
25g D50W (50 mL) IV
Pedi: 2-4 mL/kg of a 25% solution IV (Over 1 year)
Under 1 year- 10% solution
Glucagon
Another Name
GlucaGen
GlucaGen
ANother Name
Glucagon
Glucagon (GlucaGen)
Class
Hormone, Anti-Hypoglycemic
Glucagon (GlucaGen)
Description
Protein secreted by pancreatic cells that causes breakdown of stored glycogen in glucose
Glucagon (GlucaGen)
Indications
Hypoglycemia without IV access and to reverse beta-blocker and calcium channel blocker overdose.
Glucagon (GlucaGen)
Contraindications
None
Glucagon (GlucaGen)
Precautions
Cardiovascular or renal impairment. Effective only if there are sufficiant stores of glycogen in the liver.
Glucagon (GlucaGen)
Dose/Route: Hypoglycemia
1 mg IM repeat 5-20 min
Pedi: 0.1 mg /kg IM/SC/IV for child < 10 kg
Glucagon (GlucaGen)
Dose/Route: Beta Blocker/ CCB OD
3 mg over 1 min
Pedi 50 to 150 mcg/kg IV over 1 min
Oxytocin
Another Name
Pitocin
Pitocin
Another Name
Oxytocin
Oxytocin (Pitocin)
Class
Hormone
Oxytocin (Pitocin)
Description
Naturally occurring hormone that causes uterus to contract, thereby inducing labor, encouraging delivery of placenta, and controlling postpartum hemorrhage
Oxytocin (Pitocin)
Indication
Severe postpartum hemorrhage
Oxytocin (Pitocin)
Contraindication
Hypersensitivity, prehospital administration before delivery of infant/infants
Oxytocin (Pitocin)
Precautions
Before delivery may induce uterine rupture and fetal dysrhythmias, hypertension, inter cranial bleeding or asphyxia. Uterine tone, ECG and vital signs should be monitored during administration.
Oxytocin (Pitocin)
Dose/Route
3-10 units IM after delivery of placenta. 10-20 units in 1000mL of D5W or NS IV tritrated to Effect.
