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