Endocrine Flashcards
Dextrose
Name
D50W
Dextrose
Class
Carbohydrate
Dextrose
Description
Dextrose is a simple sugar that the body can rapidly metabolize to create energy
Dextrose
Indications
Hypoglycemia
Dextrose
Contraindications
None in hypoglycemia
Dextrose
Precautions
Increased ICP. Determine blood glucose level before administration. Ensure good venous access
Dextrose
Dosage/Route
25g D50W (50mL) IV
Pedi: 2-4mL/kg of a 25% solution IV (over 1 year), 10% solution for under 1 year
Glucagon
Name
GlucaGen
Glucagon
Class
Hormone, Anti-hypoglycemic
Glucagon
Description
Glucagon is a protein secreted by pancreatic cells that causes a breakdown of stored glycogen into glucose. Glucagon increases HR and AV conduction in BB and CCB OD
Glucagon
Indications
Hypoglycemia without IV access and to reverse beta-blocker and Calcium Channel Blocker overdose
Glucagon
Contraindications
None
Glucagon
Precautions
Cardiovascular or renal impairment. Effective only if there are sufficient stores of glycogen in the liver
Glucagon
Dosage/Route for hypoglycemia
1mg IM repeat 5 to 20 minutes
Pedi: 0.1 mg/kg IM/SC/IV for children under 10
Glucagon
Dosage/Route for beta blocker or CCB overdose
3mg IV over 1 minute
Pedi: 50 to 150 mcg/kg IV over 1 minute
Oxytocin
Name
Pitocin
Oxytocin
Class
Hormone
Oxytocin
Description
Oxytocin is a naturally occurring hormone that causes the uterus to contract, thereby inducing labor, encouraging delivery of the placenta, and controlling postpartum hemorrhage
Oxytocin
Indication
Severe postpartum hemorrhage
Oxytocin
Contraindications
Hypersensitivity, prehospital administration before delivery of the infant or infants
Oxytocin
Precautions
Before delivery may induce uterine rupture and fetal dysrhythmias, hypertension, intracranial bleeding, or asphyxia. Uterine tone, ECG and vital signs should be monitored during administration
Oxytocin
Dosage/Route
3-10 units IM after delivery of the placenta. 10-20 units in 1000 mL of D5W or NS IV titrated to effect
